Compositions containing a substituted indolealkanoic acid and an angiotensin converting enzyme inhibitor

ABSTRACT

Disclosed are methods of reducing serum glucose and triglyceride levels and for inhibiting angiogenesis, the methods comprising administration of substituted indolealkanoic acids to patients in need of such treatment. Also disclosed are such compounds useful in the treatment of angiogenesis, hyperglycemia, hyperlipidemia and chronic complications arising from diabetes mellitus. Also disclosed are pharmaceutical compositions containing the compounds. Further, disclosed are combinations of an angiotensin converting enzyme inhibitor and a substituted indole acetic acid.

[0001] This application claims the benefit of U.S. Provisional Application No. 60/186,511, filed Mar. 2, 2000.

BACKGROUND OF INVENTION

[0002] 1. Field of the Invention

[0003] The present invention relates to pharmaceutical compositions, and in particular to pharmaceutical compositions containing an aldose reductase inhibitor (ARI) and an angiotensin converting enzyme (ACE) inhibitor, is useful in the prevention and treatment of the complications of diabetes mellitus. In particular, the invention relates to combinations of an ACE with substituted indole acetic acids.

[0004] 2. Description of the Related Art

[0005] The use of aldose reductase inhibitors (ARIs) for the treatment of diabetic complications is well known. The complications arise from elevated levels of glucose in tissues such as the nerve, kidney, retina and lens that enters the polyol pathway and is converted to sorbitol via aldose reductase. Because sorbitol does not easily cross cell membranes, it accumulates inside certain cells resulting in changes in osmotic pressure, alterations in the redox state of pyridine nucleotides (i.e. increased NADH/NAD⁺ ratio) and depleted intracellular levels of myoinositol. These biochemical changes, which have been linked to diabetic complications, can be controlled by inhibitors of aldose reductase.

[0006] The use of aldose reductase inhibitors for the treatment of diabetic complications has been extensively reviewed, see: (a) Textbook of Diabetes, 2nd ed.; Pickup, J. C. and Williams, G. (Eds.); Blackwell Science, Boston, Mass. 1997.; (b) Larson, E. R.; Lipinski, C. A. and Sarges, R., Medicinal Research Reviews, 1988, 8 (2), 159-198; (c) Dvornik, D. Aldose Reductase Inhibition. Porte, D. (ed), Biomedical Information Corp., New York, N.Y. Mc Graw Hill 1987; (d) Petrash, J. M., Tarle, I., Wilson, D. K. Quiocho. F. A. Perspectives in Diabetes, Aldose Reductase Catalysis and Crystalography: Insights From Recent Advances in Enzyme Structure and Function, Diabetes, 1994, 43, 955; (e) Aotsuka, T.; Abe, N.; Fukushima, K.; Ashizawa, N. and Yoshida, M., Bioorg. & Med. Chem. Letters, 1997, 7, 1677, (f), T., Nagaki, Y.; Ishii, A.; Konishi, Y.; Yago, H; Seishi, S.; Okukado, N.; Okamoto, K., J. Med. Chem., 1997, 40, 684; (g) Ashizawa, N.; Yoshida, M.; Sugiyama, Y.; Akaike, N.; Ohbayashi, S.; Aotsuka, T.; Abe, N.; Fukushima, K.; Matsuura, A, Jpn. J. Pharmacol. 1997, 73, 133; (h) Kador, P. F.; Sharpless, N. E., Molecular Pharmacology, 1983, 24, 521; (I) Kador, P. F.; Kinoshita, J. H.; Sharpless, N. E., J. Med. Chem. 1985, 28 (7), 841; (j) Hotta, N., Biomed. & Pharmacother. 1995, 5, 232; (k) Mylar, B.; Larson, E. R.; Beyer, T. A.; Zembrowski, W. J.; Aldinger, C. E.; Dee, F. D.; Siegel, T. W.; Singleton, D. H., J. Med. Chem. 1991, 34, 108; (l) Dvornik, D. Croatica Chemica Acta 1996, 69 (2), 613.

[0007] Although many aldose reductase inhibitors have been extensively developed, none have demonstrated sufficient efficacy in human clinical trials without significant undesirable side effects. Thus no aldose reductase inhibitors are currently available as approved therapeutic agents in the United States; and consequently, there is still a significant need for new, efficacious and safe medications for the treatment of diabetic complications.

[0008] Treatment to normalize the plasma glucose concentration in people afflicted with type 2 diabetes currently includes diet, exercise and oral agents such as sulfonylureas, metformin and glitazone-type compounds. Many of these agents exhibit side effects and have limited efficacy. There is a need for new agents which do not possess these drawbacks. Because of the limited efficacy of each method of treatment often the oral agents are giving in combination of with each other or with insulin.

[0009] Elevated serum -triglyceride levels are also commonly associated with diabetes; however, this condition is also widely seen in nondiabetic patients. The mechanism causing the presence of elevated triglyceride levels in patients, both diabetic and otherwise, is different from that underlying chronic diabetes-related complications directly treatable by inhibition of aldose reductase activity. There is, therefore, a need for treatment of elevated triglyceride levels in diabetic and/or nondiabetic patients, e.g., cardiac patients.

SUMMARY OF THE INVENTION

[0010] This invention provides pharmaceutical compositions that comprise an angiotensin converting enzyme (ACE) inhibitor in combination with compounds that interact with and inhibit aldose reductase. Thus, in a broad aspect, the invention provides pharmaceutical compositions comprising an ACE inhibitor and compounds of Formula I:

[0011] or pharmaceutically acceptable salts thereof wherein

[0012] A is a C₁-C₄ alkylene group optionally substituted with C₁-C₂ alkyl or mono- or disubstituted with halogen, preferably fluoro or chloro;

[0013] Z is a bond, O, S, C(O)NH, or C₁-C₃ alkylene optionally substituted with C₁-C₂ alkyl;

[0014] R₁ is hydrogen, alkyl having 1-6 carbon atoms, halogen, 2-, 3-, or 4-pyridyl, or phenyl, where the phenyl or pyridyl is optionally substituted with up to three groups selected from halogen, hydroxy, C₁-C₆ alkoxy, C₁-C₆ alkyl, nitro, amino, or mono- or di(C₁-C₆)alkylamino;

[0015] R₂, R₃, R₄ and R₅ are each independently hydrogen, halogen, nitro, or an alkyl group of 1-6 carbon atoms (which may be substituted with one or more halogens);

[0016] OR₇, SR₇, S(O)R₇, S(O)₂(R₇)₂, C(O)N(R₇)₂, or N(R₇)₂, wherein each R₇ is independently hydrogen, an alkyl group of 1-6 carbon atoms (which may be substituted with one or more halogens) or benzyl, where the phenyl portion is optionally substituted with up to three groups independently selected from halogen, C₁-C₆ alkyl, C₁-C₆ alkoxy, amino, and mono- or di(C₁-C₆)alkylamino; phenyl or heteroaryl such as 2-, 3- or 4-imidazolyl or 2-, 3-, or 4-pyridyl, each of which phenyl or heteroaryl is optionally substituted with up to three groups independently selected from halogen, C₁-C₆ alkyl, C₁-C₆ alkoxy, amino, and mono- or di-(C₁-C₆)alkylamino;

[0017] phenoxy where the phenyl portion is optionally substituted with up to three groups independently selected from halogen, C₁-C₆ alkyl, C₁-C₆ alkoxy, amino, and mono- or di(C₁-C₆)alkylamino; or

[0018] a group of the formula

[0019] where

[0020] J is a bond, CH₂, oxygen, or nitrogen; and

[0021] each r is independently 2 or 3;

[0022] R₆ is hydroxy or a prodrug group;

[0023] R_(a) is hydrogen, C₁-C₆ alkyl, fluoro, or trifluoromethyl; and

[0024] Ar represents aryl or heteroaryl, each of which is optionally substituted with up to five groups.

[0025] The compounds of Formula I inhibit aldose reductase. Since aldose reductase is critical to the production of high levels of sorbitol in individuals with diabetes, inhibitors of aldose reductase are useful in preventing and/or treating various complications associated with diabetes. The compounds of the invention are therefore effective for the treatment of diabetic complications as a result of their ability to inhibit aldose reductase.

[0026] In another aspect, the invention provides methods for treating and/or preventing chronic complications associated with diabetes mellitus, including, for example, diabetic cataracts, retinopathy, keratopathy, wound healing, diabetic uveitis, diabetic cardiomyopathy, nephropathy, and neuropathy.

[0027] The compounds of Formula I also possess antihyperglycemic activity and are therefore useful for the treatment of hyperglycemia. Accordingly, an aspect of the invention is prevention and/or alleviation of complications associated with hyperglycemia with the pharmaceutical compositions of the invention.

[0028] The compounds of Formula I have been discovered to lower triglycerides. While serum triglyceride levels are often elevated in diabetic patients, they are also frequently elevated in nondiabetic patients resulting in various diseases and disorders, e.g., cardiac disease. Because of their ability to reduce serum triglyceride levels, the compositions of the present invention are useful in the treatment, i.e., prevention and/or alleviation, of elevated triglyceride levels in both diabetic and nondiabetic patients.

[0029] Thus, the compositions of the present invention may be used as antihyperlipidemic and/or antihyperglycemic agents. The compounds of Formula I may be given in combination with other glucose or lipid lowering agents as well as other agents that are given specifically to treat the complications of diabetes.

[0030] It has also been discovered that the compounds of Formula I exhibit anti-angiogenic activity in an established in vitro assay. The discovery of this biological activity for the compounds of the invention is unexpected. As a result of this biological activity, the compositions of the invention can be used to treat various diseases that exhibit aberrant vasoproliferation. According to the invention, the composition would be administered to a mammal in need of inhibition of vasoproliferation, i.e., inhibition of angiogenesis. Examples of such diseases are diabetic retinopathy, age-related macular degeneration, retinopathy of prematurity, corneal neovascularization, pterygium, and any neoplasms (cancers) which appear to be angiogenesis dependent. Administration of the compound(s) of this invention is/are not limited to a particular mode, and could be administered systemically or topically to the eye in an appropriate ophthalmic solution. The compounds of Formula I may be administered in combination therapy with other known anti-angiogenic agents.

[0031] The compounds of Formula I have also been discovered to promote the healing of wounds in mammals. In preferred aspects, these compounds are useful in promoting wound healing in diabetic mammals. Thus, these compounds may be employed in the treatment of wounds in mammals, preferably humans, more preferably in diabetic humans.

[0032] In a preferred aspect, the invention provides pharmaceutical compositions containing compounds of Formula I.

[0033] In still another aspect, the invention provides for the use of a compound or compounds of Formula I for the preparation of a pharmacetical composition for the treatment of any of the disorders or diseases (a) listed above, (b) connected with diabetic complications, hyperglycemia, or hypertriglyceridemia, or (c) where inhibition of vasoproliferation is indicated.

[0034] Prolonged administration of an ACE inhibitor at a therapeutically effective dose may be deleterious or give rise to side effects in certain patients, for example, it may lead to significant deterioration of renal function, induce hyperkalemia, neutropenia, angioneurotic oedema, rash or diarrhea or give rise to a dry cough. Administration of an ARI such as those of Formula I may also give rise to deleterious effects or side effects at the dose required to inhibit the enzyme aldose reductase sufficiently to produce a significant beneficial therapeutic effect. The present invention decreases the likelihood of problems associated with administration of indole acetic acids of Formula I or an ACE inhibitor that otherwise may result from administration of one of these agents alone. Furthermore, diabetic complications involve a complex mechanism or number of mechanisms, which initiate a cascade of biochemical alternations that in turn lead to structural changes. These may result in a diverse patient population. The present invention, therefore, provides the additional advantage that it allows tailoring of treatment to the needs of a particular patient population.

[0035] Accordingly, the present invention provides a pharmaceutical composition which comprises a compound of Formula I and an ACE inhibitor, together with a pharmaceutically acceptable carrier and/or diluent. In addition, the invention contemplates methods of treating diseases or disorders associated with elevated plasma levels of glucose, including complications associated with diabetes and hypertension and/or, congestive heart failure. These methods comprise administering an effective amount of a compound of Formula I in combination with an ACE inhibitor to a patient in need of such treatment, e.g., a patient suffering from diabetes or hypertension or a patient likely to contract either of those diseases.

DETAILED DESCRIPTION OF THE INVENTION

[0036] As used herein, the term “treatment” includes both prevention and alleviation.

[0037] The numbering system for the compounds of Formula I is as follows:

[0038] As noted above, the invention provides pharaceutical compositions comprising an ACE inhibitor and a substituted indole alkanoic acid useful in treating and/or preventing, for example, complications associated with or arising from elevated levels of glucose in individuals suffering from diabetes mellitus. These alkanoic acids are represented by Formula I above.

[0039] In compounds of Formula I, the aryl and heteroaryl groups represented by Ar include:

[0040] a phenyl group optionally substituted with up to 5 groups independently selected from halogen, an alkyl group of 1-6 carbon atoms (which may be substituted with one or more halogens), nitro, OR₇, SR₇, S(O)R₇, S(O)₂R₇ or N(R₇)₂ wherein R₇ is hydrogen, an alkyl group of 1-6 carbon atoms (which may be substituted with one or more halogens) or benzyl, where the phenyl portion is optionally substituted with up to three groups independently selected from halogen, C₁-C₆ alkyl, C₁-C₆ alkoxy, amino, and mono- or di(C₁-C₆)alkylamino, or the phenyl group may be condensed with benzo where the benzo is optionally substituted with one or two of halogen, cyano, nitro, trifluoromethyl, perfluoroethyl, trifluoroacetyl, or (C₁-C₆)alkanoyl, hydroxy, (C₁-C₆)alkyl, (C₁-C₆)alkoxy, (C₁-C₆)alkylthio, trifluoromethoxy, trifluoromethylthio, (C₁-C₆)alkylsulfinyl, (C₁-C₆)alkylsulfonyl;

[0041] a heterocyclic 5-membered ring having one nitrogen, oxygen or sulfur, two nitrogens one of which may be replaced by oxygen or sulfur, or three nitrogens one of which may be replaced by oxygen or sulfur, said heterocyclic 5-membered ring substituted by one or two fluoro, chloro, (C₁-C₆)alkyl or phenyl, or condensed with benzo, or substituted by one of pyridyl, furyl or thienyl, said phenyl or benzo optionally substituted by one of iodo, cyano, nitro, perfluoroethyl, trifluoroacetyl, or (C₁-C₆)alkanoyl, one or two of fluoro, chloro, bromo, hydroxy, (C₁-C₆)alkyl, (C₁-C₆)alkoxy, (C₁-C₆)alkylthio, trifluoromethoxy, trifluoromethylthio, (C₁-C₆)alkylsulfinyl, (C₁-C₆)alkylsulfonyl or trifluoromethyl, or two fluoro or two trifluoromethyl with one hydroxy or one (C₁-C₆)alkoxy, or one or, preferably, two fluoro and one trifluoromethyl, or three fluoro, said pyridyl, furyl or thienyl optionally substituted in the 3-position by fluoro, chloro, bromo, (C₁-C₆)alkyl or (C₁-C₆)alkoxy;

[0042] a heterocyclic 6-membered ring having one to three nitrogen atoms, or one or two nitrogen atoms and one oxygen or sulfur, said heterocyclic 6-membered ring substituted by one or two (C₁-C₆)alkyl or phenyl, or condensed with benzo, or substituted by one of pyridyl, furyl or thienyl, said phenyl or benzo optionally substituted by one of iodo or trifluoromethylthio, or one or two of fluoro, chloro, bromo, (C₁-C₆)alkyl, (C₁-C₆)alkoxy, (C₁-C₆)alkylthio, (C₁-C₆)alkylsulfinyl, (C₁-C₆)alkylsulfonyl, or trifluoromethyl, and said pyridyl, furyl or thienyl optionally substituted in the 3-position by fluoro, chloro, (C₁-C₆)alkyl or (C₁-C₆)alkoxy;

[0043] said benzo-condensed heterocyclic 5-membered or 6-membered rings optionally substituted in the heterocyclic 5-membered or 6-membered ring by one of fluoro, chloro, bromo, methoxy, or trifluoromethyl;

[0044] oxazole or thiazole condensed with a 6-membered aromatic group containing one or two nitrogen atoms, with thiophene or with furane, each optionally substituted by one of fluoro, chloro, bromo, trifluoromethyl, methylthio or methylsulfinyl;

[0045] imidazolopyridine or triazolopyridine optionally substituted by one of trifluoromethyl, trifluoromethylthio, bromo, or (C₁-C₆)alkoxy, or two of fluoro or chloro;

[0046] thienothiophene or thienofuran optionally substituted by one of fluoro, chloro or trifluoromethyl; thienotriazole optionally substituted by one of chloro or trifluoromethyl;

[0047] naphthothiazole; naphthoxazole; or thienoisothiazole.

[0048] More specific compounds of Formula I are those wherein Ar is optionally substituted benzothiazolyl, benzoxazolyl, isoquinolyl, benzothiophen-yl, benzofuran-yl or benzimidazolyl, or substituted oxadiazolyl or indolyl. Other more specific compounds of Formula I are those wherein R_(a) is trifluoromethyl, Z is a covalent bond or CH₂, R₆ is hydroxy, and each of R₂-R₅ are independently hydrogen, halogen, more preferably bromo or chloro, C₁-C₂ alkyl, phenoxy, benzyloxy, or C₁-C₂ alkoxy, and R₁ is hydrogen or methyl.

[0049] Preferred compounds are those wherein Z is a covalent bond, R₆ is hydroxy, Ar is optionally substituted benzothiazol-2-yl, benzothiazol-5-yl, benzoisothiazol-3-yl, benzoxazol-2-yl, 2-quinolyl, 2-quinoxalyl, oxazolo[4,5-b]pyridine-2-yl, benzothiophen-2-yl, benzofuran-2-yl, or thazolo[4,5-pyridine-2-y, thieno[2,3-b]pyridine2-yl, imidazo[1,5-a]pyridine-2-yl, or indol-2-yl, or substituted 1,2,4-oxadiazol-3-yl, 1,2,4-oxadiazol-5-yl, isothiazol-5-yl, isothiazol-4-yl, 1,3,4-oxadiazol-5-yl, 1,2,5-thiadiazol-3-yl, oxazol-2-yl, thiazol-2-yl, or thiazol-4-yl, R₂-R₅ are independently hydrogen, halogen, more preferably bromo or chloro, C₁-C₂ alkyl, phenoxy, benzyloxy or phenyl where each phenyl portion is optionally substituted with C₁-C₆ alkyl, halogen, C₁-C₆ alkoxy, hydroxy, amino or mono- or di(C₁-C₆)alkylamino R_(a) is hydrogen,fluro or C₁-C₂ alkyl, and R₁ is hydrogen or methyl.

[0050] Other preferred compounds are those wherein the methylene bridge connecting the indolyl group with Ar is located alpha with respect to a nitrogen atom in Ar, e.g. wherein Ar is benzoxazol-2-yl or 1,2,4-oxadiazol-3-yl mentioned above.

[0051] Other more specific compounds of Formula I are those wherein Z is a covalent bond, R₆ is hydroxy, R_(a) is hydrogen, Ar is optionally 4,5,6 or 7 benzo-substituted benzothiazolyl, benzoxazolyl, benzimidazolyl, benzothiophenyl, benzofuranyl, or indolyl, or Ar is 2-benzothiazolyl substituted on benzo by one trifluoroacetyl or trifluoromethylthio, or one or two of fluoro chloro, bromo, hydroxy, methyl, methoxy, trifluoromethyl, trifluoromethoxy, trifluoromethylthio, or one or, preferably, two fluoro and one trifluoromethyl, or two fluoro or two trifluoromethyl with one methoxy, or three fluoro, or by 6,7-benzo, and those wherein one of R₂ and R₃ is hydrogen, fluoro, chloro, bromo or methyl, and one of R₄ and R₅ is hydrogen, or chloro, bromo, methyl, isopropyl, methoxy, nitro or trifluoromethyl; or R₃ and R₄ is 5, 6-difluoro, R_(a) is hydrogen; and those wherein Ar is optionally substituted benzothiazol-2-yl or quinoxalyl and R₃ and R₄ are each chloro, and R₁ is hydrogen or methyl.

[0052] Further more specific compounds are those wherein Z is a covalent bond, R₆ is hydroxy, Ar is optionally substituted benzothiazol-2-yl, R₃ and R₄ are hydrogen, and R₅ is methyl; those wherein Z is a covalent bond, R₆ is hydroxy, R₃, R₄ and R₅ are hydrogen, chloro, fluoro, bromo or C₁-C₂ alkyl, R_(a) is hydrogen, and Ar is optionally 4,5,6 or 7 benzosubstituted benzothiazolyl-2-trifluoromethyl, benzoxazolyl-2-trifluoromethyl, benzimidazolyl-2-trifluoromethyl, benzofuran-2-trifluoromethyl, benzofuran-3-trifluoromethyl, benzothiophen-2-trifluoromethyl, benzothiophen-3-trifluoromethyl, indolyl-2-trifluoromethyl, or indolyl-3-trifluoromethyl; and those wherein Z is CH₂, R₆ is hydroxy, Ar is optionally substituted benzothiazol-2-yl, benzothiazol-5-yl, benzoisothiazol-3-yl, benzoxazol-2-yl, 2-quinolyl, 2-quinoxalyl, oxazolo[4,5-b]pyridine-2-yl, or thiazolo[4,5-b]pyridine-2-yl, or substituted 1,2,4-oxadiazol3-yl, 1,2,4-oxadiazol-5-yl, isothiazol-5-yl, isothiazol4-yl, 1,3,4-oxadiazol-5-yl, 1,2,5-thiadiazol-3-yl, oxazol-2-yl, thiazol-2-yl, or thiazol-4-yl, and R₃, R₄ and R₅ are independently hydrogen, chloro, fluoro, bromo, C₁-C₂ alkyl, or trifluoromethyl, and R_(a) is hydrogen.

[0053] Generally, R₁ in the specific compounds described above is hydrogen, halogen, preferably chloro or fluoro, C₁-C₆ alkyl, or phenyl optionally substituted with with up to three groups independently selected from halogen, C₁-C₆ alkyl, C₁-C₆ alkoxy, amino, and mono- or di(C₁-C₆)alkylamino. Preferred R₁ groups are hydrogen and methyl.

[0054] Preferred compounds include those where Ar in Formula I is substituted phenyl, i.e., compounds of Formula II:

[0055] wherein

[0056] A is a C₁-C₄ alkylene group optionally substituted with C₁-C₂ alkyl;

[0057] Z is a bond, or C₁-C₃ alkylene optionally substituted with C₁-C₂ alkyl;

[0058] R_(a) is hydrogen, C₁-C₆ alkyl, chloro, bromo, fluoro, or trifluoromethyl;

[0059] R₁ is hydrogen, C₁-C₆ alkyl, fluoro, or phenyl optionally substituted with up to three groups independently selected from halogen, C₁-C₆ alkyl, C₁-C₆ alkoxy, amino, and mono- or di(C₁-C₆)alkylamino;

[0060] R₂, R₃, R₄ and R₅ are each independently

[0061] hydrogen, halogen, an alkyl group of 1-6 carbon atoms (which may be substituted with one or more halogens), nitro, OR₇, SR₇, S(O)R_(7 , S(O)) ₂N(R₇)₂, C(O)N(R₇)₂, or N(R₇)₂, wherein each R₇ is independently hydrogen, an alkyl group of 1-6 carbon atoms (which may be substituted with one or more halogens) or benzyl, where the phenyl portion is optionally substituted with up to three groups independently selected from halogen, C₁-C₆ alkyl, C₁-C₆ alkoxy, amino, and mono- or di(C₁-C₆)alkylamino;

[0062] phenyl or heteroaryl such as 2-, 3- or 4-imidazolyl or 2-, 3-, or 4-pyridyl, each of which phenyl or heteroaryl is optionally substituted with up to three groups independently selected from halogen, C₁-C₆ alkyl, C₁-C₆ alkoxy, amino, and mono- or di(C₁-C₆)alkylamino;

[0063] phenoxy where the phenyl portion is optionally substituted with up to three groups independently selected from halogen, C₁-C₆ alkyl, C₁-C₆ alkoxy, amino, and mono- or di(C₁-C₆)alkylamino; or

[0064] a group of the formula

[0065] where

[0066] J is a bond, CH₂, oxygen, or nitrogen; and

[0067] each r is independently 2, or 3;

[0068] R₆ is hydrogen, an alkoxy group of 1-6 carbon atoms, or —O⁻M⁺ where M⁺ is a cation forming a pharmaceutically acceptable salt; and

[0069] R₈, R₉, and R₁₀, are independently hydrogen, fluorine, chlorine, bromine, trifluoromethyl or nitro.

[0070] Other preferred compounds of Formula I are those where Ar is a substituted benzothiazole, i.e., compounds of Formula III:

[0071] wherein

[0072] A is a C₁-C₄ alkylene group optionally substituted with C₁-C₂ alkyl;

[0073] Z is a bond, or C₁-C₃ alkylene optionally substituted with C₁-C₂ alkyl;

[0074] R_(a) is hydrogen, C₁-C₆ alkyl, chloro, bromo, fluoro, or trifluoromethyl;

[0075] R₁ is hydrogen, C₁-C₆ alkyl, halogen, preferably chloro or fluoro, or phenyl optionally substituted with with up to three groups independently selected from halogen, C₁-C₆ alkyl, C₁-C₆ alkoxy, amino, and mono- or di(C₁-C₆)alkylamino;

[0076] R₂, R₃, R₄ and R₅ are each independently hydrogen, halogen, an alkyl group of 1-6 carbon atoms (which may be substituted with one or more halogens), nitro, OR₇, SR₇, S(O)R₇, S(O)₂N(R₇)₂ C(O)N(R₇)₂ or N(R₇)₂, wherein each R₇ is independently hydrogen, an alkyl group of 1-6 carbon atoms (which may be substituted with one or more halogens) or benzyl, where the phenyl portion is optionally substituted with up to three groups independently selected from halogen, C₁-C₆ alkyl, C₁-C₆ alkoxy, amino, and mono- or di(C₁-C₆)alkylamino;

[0077] phenyl or heteroaryl such as 2-, 3- or 4-imidazolyl or 2-, 3-, or 4-pyridyl, each of which phenyl or heteroaryl is optionally substituted with up to three groups independently selected from halogen, C₁-C₆ alkyl, C₁-C₆ alkoxy, amino, and mono- or di(C₁-C₆)alkylamino;

[0078] phenoxy where the phenyl portion is optionally substituted with up to three groups independently selected from halogen, C₁-C₆ alkyl, C₁-C₆ alkoxy, amino, and mono- or di(C₁-C₆)alkylamino; or

[0079] a group of the formula

[0080] where

[0081] J is a bond, CH₂, oxygen, or nitrogen; and

[0082] each r is independently 2 or 3;

[0083] R₆ is hydroxy, C₁-C₆ alkoxy, or —O⁻M⁺ where M⁺ is a cation forming a pharmaceutically acceptable salt; and

[0084] R₁₁, R₁₂, R₁₃ and R₁₄ are independently hydrogen, halogen, nitro, hydroxy, C₁-C₆ alkyl, C₁-C₆ alkoxy, C₁-C₆ alkylthio, trifluoromethyl, trifluoromethoxy, C₁-C₆ alkylsulfinyl, or C₁-C₆ alkylsulfonyl.

[0085] In preferred compounds of Formula III, the R₂, R₃, R₄ and R₅ substituents, in combination, represent one of bromo, cyano or nitro, one or two of fluoro, chloro, hydroxy, (C₁-C₆)alkyl, (C₁-C₆)alkoxy, or trifluoromethyl, or two fluoro or two methyl with one hydroxy or one (C₁-C₆)alkoxy, or one or, preferably, two fluoro and one methyl, or three fluoro groups. Particularly preferred R₂, R₃, R₄ and R₅ substituents are, independently, fluorine, chlorine, nitro, and trifluoromethyl.

[0086] In preferred compounds of Formulas II and III, A is preferably methylene, methylene substituted with a methyl group, or ethylene.

[0087] Preferred compounds according to Formula II above include those wherein R₈ is fluorine, R₉ is hydrogen and R₁₀ is bromine or those wherein R₈ and R₁₀ are hydrogens and R₉ is nitro.

[0088] Preferred compounds of Formula III above are those wherein the benzothiazole moiety is substituted with nitro, one, two, or three of fluoro, one or two of chloro, or at least one trifluoromethyl group. More preferred compounds of Formula II are those where A is methylene, R₁ is hydrogen or methyl, Z is a bond, and R₆ is hydroxy or C₁-C₆ alkoxy.

[0089] Still more preferred compounds of Formula II are those wherein R₁₁, R₁₂ and R₁₄ are fluorines and R₁₃ is hydrogen. Other more preferred compounds of Formula II are those where R_(a) is methyl or hydrogen, Z is methylene or, more preferably, a bond, A is CHF or C₁ or C₂ alkylene, preferably methylene, R₁ is methyl or hydrogen, and R₁₁, R₁₂ and R₁₄ are halogens or C₁-C₃ alkyl. Still other more preferred compounds of Formula III are those where R_(a) is methyl or hydrogen, Z is methylene or, more preferably, a bond, A is CHF or C₁ or C₂ alkylene, R₁ is methyl or hydrogen, and R₁₁, R₁₂ and R₁₄ are fluorines or chlorines.

[0090] Particularly preferred compounds of Formula I are those where R₃ and R₄ are independently hydrogen, C₁-C₆ alkyl, C₁-C₆ alkoxy, or halogen, and R_(a) is methyl or hydrogen, Z is a bond, A is methylene, methyl substituted methylene, or ethylene, R₁ is methyl or hydrogen, and R₁₁, R₁₂ and R₁₄ are fluorines or chlorines.

[0091] The term “prodrug group” denotes a moiety that is converted in vivo into the active compound of formula I wherein R₆ is hydroxy. Such groups are generally known in the art and include ester forming groups, to form an ester prodrug, such as benzyloxy, di(C₁-C₆)alkylaminoethyloxy, acetoxymethyl, pivaloyloxymethyl, phthalidoyl, ethoxycarbonyloxyethyl, 5-methyl-2-oxo-1,3-dioxol-4-yl methyl, and (C₁-C₆)alkoxy optionally substituted by N-morpholino and amide-forming groups such as di(C₁-C₆)alkylamino. Preferred prodrug groups include hydroxy, and C₁-C₆ alkoxy. Preferred compounds include the pharmaceutically acceptable salts of the compounds of Formula I e.g., those where R₆ is O⁻M⁺ where M⁺ represents a cation. Preferred cations include sodium, potassium, and ammonium. Other cations include magnesium and calcium.

[0092] In certain situations, compounds of Formula I may contain one or more asymmetric carbon atoms, so that the compounds can exist in different stereoisomeric forms. These compounds can be, for example, racemates or optically active forms. In these situations, the single enantiomers, i.e., optically active forms, can be obtained by asymmetric synthesis or by resolution of the racemates. Resolution of the racemates can be accomplished, for example, by conventional methods such as crystallization in the presence of a resolving agent, or chromatography, using, for example a chiral HPLC column.

[0093] Representative compounds of the Formula I include the pharmaceutically acceptable acid addition salts of compounds where R₆ is O⁻M⁺ where M⁺ includes basic nitrogen atom, i.e, an alkylamino or morpholino group. In addition, if the compound or prodrug of Formula I is obtained as an acid addition salt, the free base can be obtained by basifying a solution of the acid salt. Conversely, if the product is a free base, an addition salt, particularly a pharmaceutically acceptable addition salt, may be produced by dissolving the free base in a suitable organic solvent and treating the solution with an acid, in accordance with conventional procedures for preparing acid addition salts from base compounds.

[0094] Non-toxic pharmaceutical salts include salts of acids such as hydrochloric, phosphoric, hydrobromic, sulfuric, sulfinic, formic, toluenesulfonic, methanesulfonic, nitric, benzoic, citric, tartaric, maleic, hydroiodic, alkanoic such as acetic, HOOC—(CH₂)_(n)—ACOOH where n is 0-4, and the like. Non-toxic pharmaceutical base addition salts include salts of bases such as sodium, potassium, calcium, ammonium, and the like. Those skilled in the art will recognize a wide variety of non-toxic pharmaceutically acceptable addition salts.

[0095] As used herein, the terms 2-benzothiazolyl and benzothiazol-2-yl are synonymous.

[0096] Representative groups of the formula

[0097] include those where J is oxygen and each r is 2 (morpholinyl), J is nitrogen and each r is 2 (piperazinyl) or one r is 2 and the other 3 (homopiperazinyl), or J is CH₂ and each r is 2 (piperidinyl) or one r is 2 and the other 3 (homopiperidinyl). Preferred groups of this formula are morpholinyl and piperazinyl.

[0098] The heterocyclic 5-membered ring having one to three nitrogen atoms, one of which may be replaced by oxygen or sulfur includes imidazolyl, oxazolyl, thiazolyl, pyrazolyl, oxadiazolyl, thiadiazolyl, and triazolyl.

[0099] The heterocyclic 6-membered ring having one to three nitrogen atoms, or one or two nitrogen atoms and one oxygen or sulfur includes triazinyl, pyrimidyl, pyridazinyl, oxazinyl and triazinyl.

[0100] The heterocyclic ring may be condensed with benzo so that said ring is attached at two neighboring carbon atoms to form a phenyl group. Such benzoheterocyclic ring may be attached to Z either through the heterocyclic group or through the benzo group of the benzoheterocyclic ring. Specific groups wherein said heterocyclic ring is condensed with a benzo include benzoxazolyl, quinazolin-2-yl, 2-benzimidazolyl, quinazolin-4-yl and benzothiazolyl. The oxazole or thiazole condensed with a 6-membered aromatic group containing one or two nitrogen atoms include positional isomers such as oxazolo[4,5-b]pyridine-2-yl, thiazolo[4,5-b]pyridine-2-yl, oxazolo[4,5-c]pyridine-2-yl, thiazolo[4,5-c]pyridine-2-yl, oxazolo[5,4-b]pyridine-2-yl, thiazolo[5,4-b]pyridine-2-yl, oxazolo[5,4-c]pyridine-2-yl, and thiazolo[5,4-c]pyridine-2-yl.

[0101] The following compounds of Formula I are provided to give the reader an understanding of the compounds encompassed by the invention:

[0102] 3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid

[0103] 5-chloro-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid

[0104] 2-methyl-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid

[0105] 5-methyl-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid

[0106] 7-methyl-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid

[0107] 6-chloro-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid

[0108] 5-benzyloxy-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid

[0109] 6-fluoro-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid

[0110] 5-fluoro-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid

[0111] 6-methyl-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid

[0112] 3-methyl(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-2 propionic acid

[0113] 3-methyl(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-3 propionic acid

[0114] 3-(5-trifluoromethylbenzothiazol-2-yl)methyl-indole-N-acetic acid

[0115] 5-methyl-3-(5-trifluoromethylbenzothiazol-2-yl)methyl-indole-N-acetic acid

[0116] 3-(3-nitrophenyl)methyl-indole-N-acetic Acid

[0117] The above compounds, further described in the Examples and other description of the invention below, are illustrative but are not meant to limit in any way the scope of the invention.

[0118] The compounds of Formula I are administered to a patient or subject in need of treatment either alone or in combination with other compounds having similar or different biological activities. In addition, the pharamceutical compositions comprising an ACE inhibitor and a compound of Formula I may also be used in combination with other compounds. For example, the compounds and compositions of the invention may be administered in a combination therapy, i.e., either simultaneously in single or separate dosage forms or in separate dosage forms within hours or days of each other. Examples of such combination therapies include administering the compositions and compounds of Formula I with other agents used to treat hyperglycemia, hyperlipidemia, and diabetic complications.

[0119] Suitable compounds for use in combination therapy include

[0120] For Hyperglycemia:

[0121] Insulin

[0122] Metformin

[0123] Troglitazone

[0124] Pioglitazone

[0125] Rosiglitazone

[0126] Darglitazone

[0127] Sulfonylureass such as glipizide and glimepiride

[0128] Repaglinide

[0129] alpha-glucosidase inhibitors such as acarbose, miglitol

[0130] For Diabetic Complications:

[0131] ACE inhibitors: Captopril, enalapril, lisinopril, omaprilat

[0132] Angiotensin II receptor antagonists (AT1-receptor) such as candesartan, losartan, irbesartan, and valsartan

[0133] MMP inhibitors

[0134] Protein kinase C inhibitors

[0135] For Antihyperlipidemia:

[0136] Statins such as Atorvastatin, simvastatin, pravastatin, fluvastatin, lovastatin, cerivastatin

[0137] Fibrates such as Fenofibrate, bezafibrate, ciprofibrate, gemfibrozil

[0138] The compositions of the invention may be administered orally, topically, parenterally, by inhalation or spray or rectally in dosage unit formulations containing conventional non-toxic pharmaceutically acceptable carriers, adjuvants and vehicles. The term parenteral as used herein includes subcutaneous injections, intravenous, intramuscular, intrasternal injection or infusion techniques. The pharmaceutical compositions may comprise an ACE inhibitor, a compound of general Formula I and a pharmaceutically acceptable carrier. One or more ACE inhibitors and compounds of general Formula I may be present in association with one or more non-toxic pharmaceutically acceptable carriers and/or diluents and/or adjuvants and if desired other active ingredients. The pharmaceutical compositions may be in a form suitable for oral use, for example, as tablets, troches, lozenges, aqueous or oily suspensions, dispersible powders or granules, emulsion, hard or soft capsules, or syrups or elixirs.

[0139] Compositions intended for oral use may be prepared according to any method known to the art for the manufacture of pharmaceutical compositions and such compositions may contain one or more agents selected from the group consisting of sweetening agents, flavoring agents, coloring agents and preserving agents in order to provide pharmaceutically elegant and palatable preparations. Tablets contain the active ingredient in admixture with non-toxic pharmaceutically acceptable excipients which are suitable for the manufacture of tablets. These excipients may be for example, inert diluents, such as calcium carbonate, sodium carbonate, lactose, calcium phosphate or sodium phosphate; granulating and disintegrating agents, for example, corn starch, or alginic acid; binding agents, for example starch, gelatin or acacia, and lubricating agents, for example magnesium stearate, stearic acid or talc. The tablets may be uncoated or they may be coated by known techniques to delay disintegration and absorption in the gastrointestinal tract and thereby provide a sustained action over a longer period. For example, a time delay material such as glyceryl monostearate or glyceryl distearate may be employed.

[0140] Formulations for oral use may also be presented as hard gelatin capsules wherein the active ingredient is mixed with an inert solid diluent, for example, calcium carbonate, calcium phosphate or kaolin, or as soft gelatin capsules wherein the active ingredient is mixed with water or an oil medium, for example peanut oil, liquid paraffin or olive oil.

[0141] Aqueous suspensions contain the active materials in admixture with excipients suitable for the manufacture of aqueous suspensions. Such excipients are suspending agents, for example sodium carboxymethylcellulose, methylcellulose, hydropropylmethylcellulose, sodium alginate, polyvinylpyrrolidone, gum tragacanth and gum acacia; dispersing or wetting agents may be a naturally-occurring phosphatide, for example, lecithin, or condensation products of an alkylene oxide with fatty acids, for example polyoxyethylene stearate, or condensation products of ethylene oxide with long chain aliphatic alcohols, for example heptadecaethyleneoxycetanol, or condensation products of ethylene oxide with partial esters derived from fatty acids and a hexitol such as polyoxyethylene sorbitol monooleate, or condensation products of ethylene oxide with partial esters derived from fatty acids and hexitol anhydrides, for example polyethylene sorbitan monooleate. The aqueous suspensions may also contain one or more preservatives, for example ethyl, or n-propyl p-hydroxybenzoate, one or more coloring agents, one or more flavoring agents, and one or more sweetening agents, such as sucrose or saccharin.

[0142] Oily suspensions may be formulated by suspending the active ingredients in a vegetable oil, for example arachis oil, olive oil, sesame oil or coconut oil, or in a mineral oil such as liquid paraffin. The oily suspensions may contain a thickening agent, for example beeswax, hard paraffin or cetyl alcohol. Sweetening agents such as those set forth above, and flavoring agents may be added to provide palatable oral preparations. These compositions may be preserved by the addition of an anti-oxidant such as ascorbic acid.

[0143] Dispersible powders and granules suitable for preparation of an aqueous suspension by the addition of water provide the active ingredient in admixture with a dispersing or wetting agent, suspending agent and one or more preservatives. Suitable dispersing or wetting agents and suspending agents are exemplified by those already mentioned above. Additional excipients, for example sweetening, flavoring and coloring agents, may also be present.

[0144] Pharmaceutical compositions of the invention may also be in the form of oil-in-water emulsions. The oily phase may be a vegetable oil, for example olive oil or arachis oil, or a mineral oil, for example liquid paraffin or mixtures of these. Suitable emulsifying agents may be naturally-occurring gums, for example gum acacia or gum tragacanth, naturally-occurring phosphatides, for example soy bean, lecithin, and esters or partial esters derived from fatty acids and hexitol, anhydrides, for example sorbitan monoleate, and condensation products of the said partial esters with ethylene oxide, for example polyoxyethylene sorbitan monoleate. The emulsions may also contain sweetening and flavoring agents.

[0145] Syrups and elixirs may be formulated with sweetening agents, for example glycerol, propylene glycol, sorbitol or sucrose. Such formulations may also contain a demulcent, a preservative and flavoring and coloring agents. The pharmaceutical compositions may be in the form of a sterile injectable aqueous or oleaginous suspension. This suspension may be formulated according to the known art using those suitable dispersing or wetting agents and suspending agents which have been mentioned above. The sterile injectable preparation may also be sterile injectable solution or suspension in a non-toxic parentally acceptable diluent -or solvent, for example as a solution in 1,3-butanediol. Among the acceptable vehicles and solvents that may be employed are water, Ringer's solution and isotonic sodium chloride solution. In addition, sterile, fixed oils are conventionally employed as a solvent or suspending medium. For this purpose any bland fixed oil may be employed including synthetic mono- or diglycerides. In addition, fatty acids such as oleic acid find use in the preparation of injectables.

[0146] The compositions of the invention may also be administered in the form of suppositories for rectal administration of the drug. These compositions can be prepared by mixing the drugs with a suitable non-irritating excipient which is solid at ordinary temperatures but liquid at the rectal temperature and will therefore melt in the rectum to release the drug. Such materials are cocoa butter and polyethylene glycols.

[0147] The compositions may also be administered parenterally in a sterile medium. The drugs, depending on the vehicle and concentration used, can either be suspended or dissolved in the vehicle. Advantageously, adjuvants such as local anesthetics, preservatives and buffering agents can be dissolved in the vehicle.

[0148] Combinations of an ACE Inhibitor and Compounds of Formula I

[0149] As noted above, the invention also provides pharmaceutical compositions that comprise a compound of Formula I and an ACE inhibitor, together with a pharmaceutically acceptable carrier and/or diluent.

[0150] Suitable ACE inhibitors useful in the compositions of the present invention include, for example, benazepril, benazeprilat, captopril, delapril, fentiapril, fosinopril, libenzapril, moexipril, pentopril, perindopril, pivopril, quinapril, quinaprilar, ramipril, spirapril, spiraprilat, zoefenopril, ceronapril, enalapril, indolapril, lisinopril, alacepril, omaprilat, and cilazapril, or a pharmaceutically acceptable salt thereof. A preferred ACE inhibitor includes, for example, lisinopril.

[0151] Omaprilat, (4S, 7S, 10aS)-5-Oxo-4-[3-phenyl-2(S)-sulfanylpropionamido]perhydropyrido[2,1-b][1,3]thiazepine-7-carboxylic acid, has the formula:

[0152] Suitable compounds of Formula I for use in combination with an ACE inhibitor include

[0153] 3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid

[0154] 5-chloro-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid

[0155] 2-methyl-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid

[0156] 5-methyl-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid

[0157] 7-methyl-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid

[0158] 6-chloro-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid

[0159] 5-benzyloxy-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid

[0160] 6-fluoro-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid

[0161] 5-fluoro-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid

[0162] 6-methyl-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid

[0163] 3-methyl(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-2 propionic acid

[0164] 3-methyl(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-3 propionic acid

[0165] 3-(5-trifluoromethylbenzothiazol-2-yl)methyl-indole-N-acetic acid

[0166] 5-methyl-3-(5-trifluoromethylbenzothiazol-2-yl)methyl-indole-N-acetic acid

[0167] 3-(3-nitrophenyl)methyl-indole-N-acetic Acid

[0168] Particularly preferred compounds of Formula I useful in combination with an ACE inhibitor are

[0169] 3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid

[0170] 2-methyl-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid

[0171] 5-methyl-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid

[0172] 7-methyl-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid

[0173] 6-fluoro-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid

[0174] 5-fluoro-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid

[0175] Independent aspects of the present invention include a pharmaceutical composition which comprises any one of the. compounds of Formula I described herein and any one of the named ACE inhibitors identified above, together with a pharmaceutically acceptable carrier and/or diluent. Accordingly, further independent aspects of the present invention include the following:

[0176] Pharmaceutically acceptable salts of the compounds of Formula I are described above. Pharmaceutically acceptable salts of the ACE inhibitors, in accordance with the present invention, are salts formed with physiologically acceptable bases and/or acids well known to those skilled in the art of pharmaceutical technique. Suitable salts with physiologically acceptable bases include, for example, alkali mental and alkaline earth metal salts, such as sodium, potassium calcium and magnesium salts, and ammonium salts and salts with suitable organic bases, such as methylamine, dimethylamine, trimethylamine, piperidine, morpholine and triethanolamine. Suitable salts with physiologically acceptable acids include, for example, salts with inorganic acids such as hydrohalides (especially hydrochlorides or hydrobromides), sulphates and phosphates, and salts with organic acids.

[0177] Compositions for oral administration are preferred.

[0178] The doses of a compound of Formula I and an ACE inhibitor which can be administered in accordance with the present invention depends on several factors, for example, the age, weight and the severity of the condition under treatment, as well as the route of administration, dosage form and regimen and the desired result, and additionally the potency of the particular compound of Formula I and ACE inhibitor employed in the composition. In addition, account should be taken of the recommended maximum daily dosages for the ACE inhibitors.

[0179] Dosage levels of each of the compounds of Fromula I and the ACE inhibitor on the order of from about 0.1 mg to about 140 mg per kilogram of body weight per day are useful in the treatment of the above-indicated conditions (about 0.5 mg to about 7 g per patient per day). The amount of active ingredient that may be combined with the carrier materials to produce a single dosage form will vary depending upon the host treated and the particular mode of administration. Dosage unit forms will generally contain between from about 1 mg to about 1000 mg of an active ingredient.

[0180] It will be understood, however, that the specific dose level for any particular patient will depend upon a variety of factors including the activity of the specific compound employed, the age, body weight, general health, sex, diet, time of administration, route of administration, and rate of excretion, drug combination and the severity of the particular disease undergoing therapy.

[0181] Thus, a unit dosage formulation such as a tablet or capsule will usually contain, for example, from 0.1 mg to 500 mg of a compound of Formula I and from 0.1 mg to 500 mg of an ACE inhibitor. Preferably a unit dose formulation will contain 0.1 mg to 100 mg of a compound of Formula I and 0.1 to 100 mg of an ACE inhibitor.

[0182] The pharmaceutical compositions of the present invention may be administered up to six times daily, conveniently 1 to 4 times daily and preferably 1 to 2 times daily, so that a dose of the compound of Formula I in the general range of 0.01 to 100 mg/kg, preferably 0.1 to 10 mg/kg, more preferably 0.1 to 5 mg/kg, is administered daily and a dose of the ACE inhibitor in the general range 0.01 to 100 mg/kg, preferably 0.01 to 20 mg/kg, more preferably 0.01 to 1 mg/kg, is administered daily.

[0183] The present invention covers the combination of (or product containing) a compound of Formula I and an ACE inhibitor for simultaneous, separate or sequential use in the treatment of diabetic complications. In one aspect of the present invention, the compound of Formula I or a pharmaceutically acceptable salt thereof and an ACE inhibitor or a pharmaceutically acceptable salt thereof are presented in admixture in one pharmaceutical dosage form. In another aspect, the present invention covers the administration of separate unit dosages of the compound of Formula I and the ACE inhibitor in order to achieve the desired therapeutic effect. Such separate unit dosages may be administered concurrently or sequentially as determined by the clinician. Preferably the compound of Formula I and the ACE inhibitor are both administered orally. The present invention also covers an agent for the treatment of diabetic complications comprising a pharmaceutically acceptable carrier and/or diluent and, as active agents, a compound of Formula I and an ACE inhibitor in quantities producing a synergistic therapeutic effect.

[0184] In another aspect of the invention there is provided a combination of pharmaceutical compositions for combination therapy of diabetic complications, the combination consisting of a pharmaceutical composition comprising a compound of Formula I and a pharmaceutical composition comprising an ACE inhibitor. Particular diabetic complications include, for example, diabetic neuropathy, diabetic nephropathy and diabetic retinopathy.

[0185] A further aspect of the present invention comprises the use of a compound of Formula I and an ACE inhibitor in the preparation of a pharmaceutical composition for use in the treatment of diabetic complications.

[0186] A further aspect of the present invention is a method for treating diabetic complications (such as diabetic neuropathy, diabetic nephropathy or diabetic retinopathy) wherein a therapeutically effective amount of a compound of Formula I in combination with an ACE inhibitor is administered systemically, such as orally or parenterally. Where the patient to be treated is normotensive, the ACE inhibitor will preferably be administered in amounts below that required to cause a reduction in blood pressure. Where the patient to be treated is hypertensive, the ACE inhibitor will preferably be used in amounts usually employed to treat hypertension. The present invention provides a method for treating diabetic complications and the amounts of the compound of Formula I and the ACE inhibitor required when administered in association with the combined therapy are lower than would normally be used, and thus, any deleterious effects or side effects are minimized.

[0187] The effect of a pharmaceutical composition containing a compound of Formula I and an ACE inhibitor of the present invention may be examined by using one or more of the published models of diabetic complications well known in the art. The pharmaceutical compositions of the present invention are particularly useful for the prevention of, reducing the development of, or reversal of, deficits in nerve function found in diabetic patients, and therefore particularly useful in the treatment of diabetic neuropathy. This may be demonstrated, for example, by measuring markers such as nerve conduction velocity, nerve amplitude, quantitative sensory testing, autonomic function testing and morphometric changes. Experimentally, studies analogous to those described in Diabetologia, 1992, Vol. 35, pages 12-18 and 1994, Vol. 37, pages 651-663 may be carried out.

[0188] A further aspect of the present invention is a method of treating or preventing the development of disease conditions associated with impaired neuronal conduction velocity in a warm-blooded animal (including a human being) requiring such treatment which comprises administering to said animal a therapeutically effective amount of a combination of a compound of Formula I and an ACE inhibitor. A further aspect of the present invention is the use of a compound of Formula I and an ACE inhibitor for the manufacture of a medicament for use in the treatment or prevention of the development of disease conditions associated with impaired neuronal conduction velocity.

[0189] A further aspect of the present invention is a method of reversing impaired neuronal conduction velocity in a warm-blooded animal (including a human being) requiring such treatment which comprises administering to said animal a therapeutically effective amount of a combination of a compound of Formula I and an ACE inhibitor. A further aspect of the present invention is the use of a compound of Formula I and an ACE inhibitor for the manufacture of a medicament for use in the reversal of impaired neuronal conduction velocity.

[0190] The compounds of Formula I may be prepared by use of known chemical reactions and procedures. General methods for synthesizing the compounds are presented below. It is understood that the nature of the substituents required for the desired target compound often determines the preferred method of synthesis. All variable groups of these methods are as described in the generic description if they are not specifically defined below. More detailed procedures for particular examples are presented below in the experimental section.

[0191] Methods of Preparation

[0192] The compounds of Formula I where Ar is benzothiazolyl can be conveniently prepared from a substituted indole moiety using general Scheme A set forth below.

[0193] Treatment of a nitrile indole IV with a strong base such as, for example, sodium hydride, butyl lithium or sodium tert-butoxide, in a polar aprotic solvent such as acetonitrile, tetrahydrofuran or N,N-dimethylformamide followed by an treatment with an alkylating agent, e.g., ethyl or tert-butyl bromoacetate, provides the desired N-alkylated product V. Alternativly, phase transfer catalysis can be used in a biphasic solvent system. A general review of such alkylations can be found in Sundberg, R. J. Indoles; Chapter 11, Academic Press Inc., San Diego, Calif., 1996. Condensation with a suitable 2-amino thiophenol hydrochloride salt VI provides benzothiazole intermediate VII. These reactions are most often carried out in an alcohol solvents at elevated temperatures; however, other solvents like N,N-dimethylformamide and N-methylpyrrolidone can be used or the reactions can be carried out in the absence of solvents altogether. The scope of the reaction conditions useful for this transformation have been described previously (U.S. Pat. No. 5,700,819). General methods for the preparation of various substituted 2-amino thiophenols are also well known (J. Med. Chem. 1991, 34, 108 and Chem. Pharm. Bull. 1994, 42, 1264). In general, the best method of synthesis is determined by such factors as availability of starting materials and ease of synthesis. Deprotection of the alkanoic acid moiety VII can be carried out by methods common to those skilled in the art to result in compounds of Formula III. The method used in the deprotection depends on the type of protecting group. A description of such protecting groups and methods for deprotecting them may be found in: Protective Groups in Organic Synthesis, Second Edition, T. W. Green and P. G. M. Wuts, John Wiley and Sons, Ney York, 1991. When a methyl or ethyl ester is used, an aqueous sodium hydroxide solution in ethanol or dimethoxyethane is conveniently employed for its removal.

[0194] If not commercially available, nitrile IV can be prepared substantially as described below in Scheme B depicting the formation of 3-acetonitrile substituted indoles of Formula IV where Z is a bond. Thus, an indole moiety in a weak acid solution, for example, acetic acid in ethanol, is treated with aqueous formaldehyde and dimethyl amine in an alcohol solvent. The 3-(dimethylamino)methyl indole product can then be treated with sodium or potassium cyanide in N,N-dimethylformamide at elevated temperatures to provide the 3-acetonitrile substituted indole intermediate. Alternatively, an iminium salt like N,N-dimethylmethyleneammonium chloride can be used to prepare the 3-(dimethylamino)methyl indole intermediate.

[0195] The 3-(dimethylamino)methyl indole intermediate can also be converted to the the 3-acetonitrile substituted indole intermediate via the trimethyl ammonium salt. The salt can be prepared by treating the gramine intermediate with an alkalating agent like methyl iodide. The trimethyl ammonium salt intermediate can then be converted to the nitrile by treatment with sodium or potassium cyanide in a solvent like N,N-dimethylformamide. In general, the conversion to the acetonitrile occurs under more mild conditions when the trimethyl ammonium salt is used.

[0196] Alternatively, other compounds, such as those where Z-Ar represents a wide variety of substituted hetercycles, may be prepared using the general method outlined in Scheme C. Here, substituted indole intermediates where X is an activating group like hydroxyl, halogen, dialkyl amino, trialkyl ammonium or benzotriazole are coupled with Q-Z-Ar groups using methods well-established in indole chemistry. Examples of these methods where Q is Na or H and Z is sulfur, oxygen, nitrogen carbon or a bond are described in (A) Tidwell, J. H.; Peat, A. J.; Buchwald, S. L. J. Org. Chem. 1994, 59, 7164; (B) Bruneau, P.; Delvare, C.; Edwards, M. P.; McMillan, R. M. J. Med. Chem. 1991, 34, 1028; (C) Gan, T.; Cook, J. M. Tetrahedron Lett. 1997, 38, 1301; (D) Cerreto, F.; Villa, A.; Retico, A.; Scalzo, M. Eur. J. Med. Chem. 1992, 27 701; (E) Majchrzak, M. W.; Zobel, J. N.; Obradovich, D. J.; Synth. Commun. 1997, 27, 3201; (F) DeLeon, C. Y.; Ganem, B. J. Org. Chem. 1996, 61, 8730; (G) Katritzky, A. R.; Toader, D; Xie, L. J. Org. Chem. 1996, 61, 7571.

[0197] It is understood that, depending on the specific chemistry used, a protecting group, P, may be required. In general, P represents groups such as acyloxy, alkyl, sulfonyl or A-COOR. The use of these general methods is illustrated in Protective Groups in Organic Synthesis, Second Edition, T. W. Green and P. G. M. Wuts, John Wiley and Sons, Ney York, 1991.

[0198] In general, the intermediate compounds wherein R₂₋₆ is aryl or heteroaryl can be synthesized by the chemistry illustrated in reaction Scheme D below. For example, treatment of the potassium salt of an optionally substituted bromoindole with tert-butyllithium at low temperature in an ethereal solvent such as ether or tetrahydrofuran followed by the addition of an electrophile represents a general method for obtaining substituted indoles, as described by Rapoport, H. (J. Org. Chem. 1986, 51, 5106). For a discussion of a synthesis where R is acyl, see Biorg. Med. Chem. Lett. 1999, 9, 333; where R is, thiomethyl, see Heterocycles, 1992, 34, 1169; and where R is cycloalkyl, see J. Med. Chem. 1999, 42, 526.

[0199] More specifically the addition of a trialkyl borate followed by an acidic work-up provides the desired indole boronic acids (Heterocycles, 1992, 34, 1169). Indole boronic acids can be used in well established transition metal catalyzed coupling reactions like the Suzuki reaction to provide aryl and heteroaryl indoles. These reactions are most often carried out in a mixture of ethereal or alcohol solvents with aqueous base in the presence of palladium catalyst, such as Pd(OAc)₂, Pd(OAc)₂ W/PPh₃ or Pd(PPh₃)₄ as described in Tetrahedron Lett. 1998, 39, 4467, J. Org. Chem. 1999, 64, 1372 and Heterocycles 1992, 34, 1395.

[0200] Alternatively, an optionally substituted bromoindole can be treated with an arylboronic acid and a palladium catalyst to provide arylindoles in large quantities (Synlett 1994, 93). A general review of Suzuki cross-couplings between boronic acids and aryl halides can be found in Miyaura, N; Suzuki, A. Chem. Rev. 1995, 95, 2457.

[0201] For example, treatment of the advanced intermediate indole X with an aryl or heteroaryl boronic acid using Pd-mediated coupling conditions provides the desired aryl and heteroaryl indole product XI as shown in scheme (E). In general the utility of this method is determined by the ease of synthesis of advanced intermediates of type X and the commercial availability of aryl and heteroaryl boronic acids.

[0202] In addition, certain organometallic reactions eliminate the need for de novo construction of the indole nucleus. For example, the Stille reaction serves as a general method for the synthesis of regiocontrolled substitution of indole intermediates as described by Farina, V.; Krishnamurthy, V; Scott, W., Organic Reactions, 1998, 50, 1-652. As indicated in the scheme below, the indole may serve as the organotin species or the aryl halide. The stannylindole (XII), where P is a suitable protecting group such as [2-(trimethyl)ethoxy]methyl (SEM) or an alkyl substituent, is treated with a variety of partners (i.e., vinyl/allylic halides, vinyl triflates, aryl/heteroaryl halides and acyl halides) in the presence of a Pd(O)L_(n) catalyst to provide the desired indoles (XII) (Synnlett 1993, 771, Helv. Chim. Acta 1993, 76, 2356 and J. Org. Chem. 1994, 59, 4250). Conversely, a haloindole (XIV) is treated with a variety of tin reagents under Stille conditions to provide the desired substituted indoles (XV) as described in Heterocycles 1988, 27, 1585 and Synth. Comm 1992, 22, 1627).

[0203] A general procedure for the synthesis of intermediate compounds using amines of the formula NR_(x)R_(X2) (NR₁R₂ in the scheme below) is given in scheme F below. In Scheme F, R_(x) and R_(x2) are the same or different and represent hydrogen, C₁-C₆ alkyl, or R_(x) and R_(x2) together represent a group of the formula:

[0204] where J and each r is as defined above for formula I.

[0205] As shown in Scheme F, nucleophilic substitution of X (X is halogen, preferably fluorine) in an aromatic system is a method often used to substitute aromatic rings with amine and ether functionalities. Both 4- and 5- fluoro-2-nitrotoluene are sufficiently activated to undergo substitution with amines in the presence of K₂CO₃ in a polar aprotic solvent such as, for example, DMSO as described in J. Med. Chem. 1993, 36, 2716. The Leimgruber-Batcho two-step method is a general process for the construction of the indole ring system from the appropriate o-nitrotoluene. This reaction involves the condensation of an o-nitrotoluene with N,N-dimethylformamide dimethyl acetal followed by a reductive cyclization under suitable conditions such as hydrogen over a palladium catalyst or Zn/HOAc as described in Sundberg, R. J. Indoles; Chapter 2, Academic Press Inc., San Diego, Calif., 1996. A representative description of the process can also be found in Organic Synthesis, 1984, 63, 214.

[0206] A general procedure for the synthesis of intermediate compounds wherein R is an aromatic, heteroaromatic or alkyl group is indicated in Scheme G below. As previously described, nucleophilic substitution of halogen, preferably fluorine, in an aromatic system is a method often used to substitute aromatic rings with amine and ether functionalities. Both 4- and 5-fluoro-2-nitrotoluene are sufficiently activated enough to undergo substitution with alcohols or phenols in the presence of K₂CO₃ in a polar aprotic solvent such as DMSO. A similar system using KOH and phenol is described in J. Med. Chem. 1994, 37, 1955. Alternatively, solid-liquid phase transfer catalysis (PTC) methods have been used to prepare intermediate ethers of this type as described in Synth. Comm. 1990, 20, 2855. The appropriately substituted o-nitrotoluene can then be converted to the appropriate indole by the Leimgruber-Batcho method previously desribed.

[0207] The preparation of intermediate alkoxy indole compounds wherein R is C₁-C₆ alkyl is outlined in Scheme H below. Commercially available nitrophenols can be alkylated under mild conditions with a base such as, for example, K₂CO₃ or Cs₂CO₃, in a polar aprotic solvent, e.g. CH₃CN, with a variety of suitable alkyl halides. See Synth. Comm. 1995, 25, 1367. The alkoxy o-nitrotoluene can then be converted to the desired indole as described above.

[0208] Alternatively, some examples of Formula I where Z is a bond and Ar is a substituted heterocycle such as a thiazole; or Z is amide and Ar is a substituted phenyl can be conveniently prepared from an indole 3-acetic acid derivative as illustrated in Scheme I. Using this method, the carboxylic acid moiety is activated and coupled with an aryl amine. Some examples of activating methods well-known to those skilled in the art include formation of acid chloride, mixed anhydrides and coupling reagents such as 1,3-dicyclohexylcarbodiinide (DCC). A review of such method can be found in Bodanszky, M. Principles of Peptide Synthesis; Springer-Verlag: New York, 1984. For the examples where Z is a bond and Ar is a substituted benzothiazole or benzoxazole, the intermediate amide or thioamide can be cyclized into the aromatic ring. Examples of these types of hetercycle forming reactions are described in Mylar, B. L. et al. J. Med. Chem. 1991, 34, 108. In addition, the carboxylic acid can be converted to a chloro- or bromomethyl ketone and condensed with nucleophiles like thioamides or 2-aminothiophenols to produce thiazole or benzothiazine derivatives. Examples of methods to prepare the chloro- and bromomethyl ketones are illustrated, in Rotella, D. P.; Tetrahedron Lett. 1995, 36, 5453 and Albeck, A.; Persky, R.; Tetrahedron 1994, 50, 6333. Depending on the reaction conditions in a given synthetic sequence a protecting group may be required. It is also understood that the specific order of steps used in the synthesis depends on the particular example being prepared. P may represent H, A-COOH, A-COO— lower alkyl or a simple protecting group that can be removed at a late stage of the synthesis. When such a protecting group is used, the A-CO2R6 group can be introduced near the end of the synthesis after the Z-Ar group has been assembled. Method of introducing the Z-Ar group are similar to those already described.

[0209] Another strategy involves the synthesis of substituted indoles via an intramolecular cyclization of an aniline nitrogen onto a substituted alkyne as shown in Scheme J. Typical approaches utilize commercially available o-iodoaniline derivatives. When these intermediates are unavailable, the regioselective ortho iodination of aromatic amines is used to generate the required intermediate (J. Org. Chem. 1996, 61, 5804). For example, Iodophenyl intermediates are treated with trimethylsilylacetylene in the presence of a Pd catalyst and a Cu(I) source, such as cupric iodide, to produce o-alkynylanilines. See Heterocycles, 1996, 43, 2471 and J. Org. Chem. 1997, 62, 6507. Further elaboration of the o-alkynylaniIine to the desired indole can be done by a copper-mediated cyclization or a base-induced amine ring closure onto the alkyne functionality (J. Med. Chem. 1996, 39, 892). Alternative modifications have been made in the acetylenic derivatives to generate more elaborate indole structures as described in J. Am. Chem. Soc. 1991, 113, 6689, Tetrahedron Lett. 1993, 24, 2823 and Tetrahedron Lett. 1993, 15 34, 6471.

[0210] Those having skill in the art will recognize that the starting materials may be varied and additional steps employed to produce compounds encompassed by the present invention, as demonstrated by the following examples. In some cases, protection of certain reactive functionalities may be necessary to achieve some of the above transformations. In general, the need for such protecting groups will be apparent to those skilled in the art of organic synthesis as well as the conditions necessary to attach and remove such groups.

[0211] The disclosures in this application of all articles and references, including patents, are incorporated herein by reference.

[0212] The preparation of the compounds of the present invention is illustrated further by the following examples, which are not to be construed as limiting the invention in scope or spirit to the specific procedures and compounds described in them.

EXAMPLE 1

[0213] Preparation of 2-methyl-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid

[0214] 2-Methyl-3-(4,5,7-Trifluorobenzothiazol-2-yl)methyl-indole-N-acetic Acid was prepared in a manner analogous to that set forth in Example 2, except 2-methylindole was used instead of 5-chloroindole in part 1: 178-180° C.; ¹H NMR (DMSO-d₆, 300 MHz) δ7.75−7.62 (m, 1 H), 7.45 (d, J=9.0 Hz, 1 H), 7.39 (d, J=9.0 Hz, 1 H), 7.08 (t, J=9 Hz, 1 H), 6.99 (t, J=9.0 Hz, 1 H), 5.00 (s, 2 H), 4.60 (s, 2 H), 2.38 (s, 3 H);

[0215] LRMS calcd for C₁₉H₁₃F₃N₂O₂S: 390.0; found 391.0 (M+1)⁺. Anal. Calcd for C₁₉H₁₃F₃N₂O₂S: C, 58.46; H, 3.36; N, 7.18; S, 8.21.

[0216] Found: C, 58.47; H, 3.29, N, 7.12, S, 8.18.

EXAMPLE 2

[0217] Preparation of 5-chloro-3-(4,5,7-Trifluorobenzothiazol-2-yl)methyl-indole-N-acetic Acid

[0218] 5-chloroindole-3-acetonitrile

[0219] A solution of aqueous formaldehyde (37%, 2.95 mL, 66.0 mmol) and dimethylamine (40%, 5.30 mL, 66.0 mmol) in 20 mL EtOH was cooled to 0° C. 5-Chloroindole (4.0 g, 26.4 mmol) was dissolved in a HOAc:EtOH mixture (1:1, 40 mL) and added dropwise to the reaction mixture. After stirring at this temperature for 2 h, the mixture was allowed to warm to room temperature and stir overnight. The mixture was added to a sat'd solution of NaHCO₃. 1 N NaOH was added until the pH was between 9-10. The resulting mixture was extracted with CH₂Cl₂ (3×). The organics were combined and washed with a sat'd aq. NaCl, dried over MgSO₄, filtered and concentrated in vacua to give 4.65 g (85%) of 5-chloro-3-[(dimethylamino)methyl]indole as a yellow powder. Without further purification, 5-chloro-3-[(dimethylamino)methyl]indole (4.65 g, 22.4 mmol) was dissolved in dimethylformamide (80 mL) at room temperature with stirring. To this was added KCN (2.18 g, 33.5 mmol) in H₂O (10 mL). The mixture was warmed to 140° C. and stirred for 14 h. H₂O was added and the mixture was extracted with EtOAc (2×). The organics were combined and washed with sat'd brine, dried over MgSO₄, filtered and concentrated in vacuo. The residue was purified by SiO₂ flash chromatography (3:2, Heptane: EtOAc) to give 2.65 g (63%) of 5-chloroindole-3-acetonitrile.

[0220]¹H NMR (DMSO-d₆, 300 MHz) δ11.30 (br s, 1 H), 7.63 (s, 1 H), 7.42−7.38 (m, 2 H), 7.05 (d, J=6.0 Hz, 1 H), 5.70 (s, 2 H),

[0221] 5-chloro-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid:

[0222] 5-chloro-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid was prepared in a manner analogous to that set forth in Example 3 (parts 1-7), except 5-chloroindole-3-acetonitrile was used instead of 3-indolyl acetonitrile in part 5: mp 188-189° C.; ¹H NMR (DMSO-d₆, 300 MHz) δ7.73−7.68 (m, 1 H), 7.63 (d, J=1.8 Hz, 1 H), 7.51 (s, 1 H), 7.45 (d, J=9.0 Hz, 1 H), 7.14 (dd, J₁=9.0, J₂=2.4 Hz, 1 H), 5.04 (s, 2 H), 4.65 (s, 2 H); LRMS calcd for C₁₈H₁₀F₃N₂O₂SCl: 410.0; found 411.0 (M+1)⁺. Anal. Calcd for C₁₈H₁₀F₃N₂O₂SCl: C, 52.63; H, 2.45; N, 6.82; S, 7.81. Found: C, 52.56; H, 2.40, N, 6.71, S, 7.72.

EXAMPLE 3

[0223] Preparation of 3-(4,5,7-Trifluorobenzothiazol-2-yl)methyl-indole-N-acetic Acid

[0224] 2,3,5,6-Tetrafluoroacetanilide:

[0225] A solution of 2,3,5,6-tetrofluoroaniline (200 g, 1.21 mol) in anhydrous pyridine (103 mL, 1.27 mol) was treated with acetic anhydride (120 mL, 1.27 mol) and heated to 120° C. for 2 h. After cooling to room temperature, the solution was poured into ice-cold water (500 mL). The resulting precipitate was filtered, dissolved in ethyl acetate, dried over MgSO₄, filtered and concentrated. The solid material was washed with heptane (200 mL) and dried to give 2,3,5,6-tetrafluoroacetanilide as a white crystalline solid (206 g, 82%): mp 136-137° C.; R_(f) 0.48 (50% ethyl acetate in heptane); ¹H NMR (DMSO-d₆, 300 MHz) δ10.10 (s, 1 H), 7.87−7.74 (m, 1 H), 2.09 (s, 3 H). Anal. Calcd for C₈H₅F₄NO: C, 46.39; H, 2.43; N, 6.67. Found C, 46.35; H, 2.39; N, 6.68.

[0226] 2,3,5,6-Tetrafluorothioacetanilide:

[0227] A flame-dried, 4-necked 5,000 mL round-bottomed flask was charged with phosphorous pentasulfide (198 g, 0.45 mol) and diluted with anhydrous benzene (3,000 mL, 0.34 M). 2,3,5,6-tetrafluoroacetanilide (185 g, 0.89 mol) was added in one portion and the bright yellow suspension was heated to a gentle reflux for 3 h. The solution was cooled to 0° C. and filtered. The insoluble material was washed with ether (2×250 mL) and the combined filtrate was extracted with 10% aq. NaOH (750 mL, 500 mL). After cooling the aqueous layer to 0° C., it was carefully acidified with conc. HCl (pH 2-3). The precipitated product was collected by filtration and washed with water (500 mL). The yellow-orange material was disolved in ethyl acetate (1,000 mL), dried over MgSO₄ and activated charcoal (3 g), filtered through a short pad of silica (50 g), and concentrated. The resulting solid was triturated with heptane (500 mL) and filtered to give 2,3,5,6-tetrafluorothioacetanilide (174.9 g, 88%): mp: 103-104° C.; R_(f) 0.67 (50% ethyl acetate in heptane); ¹H NMR (DMSO-d₆, 300 MHz) δ11.20 (s, 1 H), 8.00−7.88 (m, 1 H), 2.66 (s, 3 H). Anal. Calcd for C₈H₅F₄NS: C, 43.05; H, 2.26; N, 6.28. Found C, 43.10; H, 2.23; N, 6.19.

[0228] 4,5,7-Trifluoro-2-methylbenzothiazole:

[0229] A flame-dried 5,000 mL round-bottomed flask equipped with over-head stirrer was charged with sodium hydride (15.9 g, 0.66 mol) and diluted with anhydrous toluene (3,000 mL, 0.2 M). The suspension was cooled to 0° C., and treated with 2,3,5,6-tetrafluorothioacetanilide (134 g, 0.60 mol) in one portion. The solution was warmed to room temperature over 1 h, then heated to a gentle reflux. After 30 min, dimethylformamide (400 mL) was carefully added and the mixture was stirred for an additional 2 h. The solution was cooled to 0° C. and added to ice-water (2,000 mL). The solution was extracted with ethyl acetate (1,500 mL) and washed with sat'd. aq. NaCl (1,000 mL). The organic layer was concentrated to dryness, diluted with heptane and successively washed with water (300 mL) and sat'd. aq. NaCl (1,000 mL). The organic layer was dried over MgSO₄, filtered and concentrated to give 4,5,7-trifluoro-2-methylbenzothiazole (116.8 g, 96%) as a light brown solid: mp: 91-92° C.; R_(f) 0.56 (30% ethyl acetate in heptane); ¹H NMR (DMSO-d₆, 300 MHz) δ7.76−7.67 (m, 1 H), 2.87 (s, 3 H); Anal. Calcd for C₈H₄F₃NS: C, 47.29; H, 1.98; N, 6.82; S, 15.78. Found C, 47.56; H, 2.07; N, 6.82; S, 15.59.

[0230] 2-Amino-3,4,6-trifluorothiophenol Hydrochloride:

[0231] A solution of 4,5,7-trifluoro-2-methylbenzothiazole (25.0 g, 123 mmol) in ethylene glycol (310 mL, 0.4 M) and 30% aq. NaOH (310 mL, 0.4 M) was degassed using a nitrogen stream then heated to a gentle reflux (125° C.) for 3 h. The solution was cooled to 0° C. and acidified to pH 3-4 using conc. HCl (appox. 200 mL). The solution was extracted with ether (750 mL) and washed with water (200 mL). The organic layer was dried over Na₂SO₄, filtered and treated with 2,2-di-tert-butyl-4-methylphenol (0.135 g, 0.5 mol %). After concentrating to dryness, the crude product was dissolved in anhydrous methanol (200 mL) and treated with an HCl solution in 1,4-dioxane (37 mL, 4 N, 148 mmol). The resulting mixture was concentrated to dryness, triturated with isopropylether (100 mL) and filtered to give 2-amino-3,4,6-trifluorothiophenol hydrochloride (19.3 g, 73%) as a light brown solid that was used without further purification. mp. 121-124 C; R_(f) 0.43 (30% ethyl acetate in heptane); Anal. Calcd for C₆H₅ClF₃NS: C, 33.42; H, 2.34; N, 6.50; S, 14.87. Found C, 33.45; H, 2.27; N, 6.48; S, 14.96.

[0232] 3-cyanomethyl-indole-N-acetic acid, Ethyl Ester:

[0233] Under an atmosphere of nitrogen, a solution of 3-indolyl acetonitrile (25.0 g, 160 mmol) in dry acetonitrile (530 mL, 0.3 M) was treated with sodium hydride (95%, 4.2 g, 168 mmol) and stirred for 30 min. Ethyl bromoacetate (21.3 mL, 192 mmol) was added in a dropwise manner over 10 min and the solution was stirred at room temperature for 16 h. After concentrating under reduced pressure, the resulting residue was dissolved in ethyl acetate and washed with sat'd. aq. NaCl. The organic extracts were dried over MgSO₄, filtered and concentrated. The crude product was recrystalized from heptane and ethyl acetate to give the target compound as a white crystalline solid (19 g, 49%): mp 98-99° C.; R_(f) 0.29 (30% ethyl acetate in heptane); ¹H NMR (DMSO-d₆, 300 MHz) δ7.59 (dd, J₁=7.8 Hz, J₂=0.6 Hz, 1 H), 7.40 (dd, J₁=8.1 Hz, J₂=0.6 Hz, 1 H), 7.36 (s, 1 H), 7.18 (b t, J=7.2 Hz, 1 H), 7.10 (b t, J=7.2 Hz, 1 H), 5.12 (s, 2 H), 4.14 (q, J=7.2 Hz, 2 H), 4.06, (s, 2 H), 1.20 (t, J=7.2 Hz, 3 H); ); LRMS calcd for C₁₄H₁₄N₂O₂: 242.3; found 243.0 (M+1)⁺. Anal. Calcd for C₁₄H₁₄N₂O₂: C, 69.49; H, 5.82; N, 11.56. Found C, 69.39; H, 5.89; N, 11.59.

[0234] 3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid, Ethyl Ester:

[0235] Under a nitrogen atmosphere, a solution of 3-acetonitrile-indole-N-acetic acid, ethyl ester (11.0 g, 45.4 mmol) in anhydrous ethanol (90 mL, 0.5 M) was treated with 2-amino-3,4,6-trifluorothiophenol hydrochloride (12.7 g, 59.0 mmol) and heated to a gentle reflux for 16 h. After cooling to room temperature, the solution was concentrated under reduced pressure, diluted with ethyl acetate and washed with 2N HCl and sat'd. aq. NaCl. The organic layer was dried over MgSO₄, filtered and concentrated. Purification by MPLC (10-50% ethyl acetate in heptane, 23 mL/min, 150 min) to give 3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid, ethyl ester (6.0 g, 36%) as a white crystalline solid: mp 110-111° C.; R_(f) 0.41 (30% ethyl acetate in heptane); ¹H NMR (DMSO-d₆, 300 MHz) δ7.74−7.66 (m, 1 H), 7.54 (d, J=7.8 Hz, 1 H), 7.46 (s, 1 H), 7.40 (d, J=8.1 Hz, 1 H), 7.15 (br t, J=6.9 Hz, 1 H), 7.04 (br t, J=7.8 Hz, 1 H), 5.14, s, 2 H), 4.66 (s, 2 H), 4.14 (q, J=7.2 Hz, 3 H); LRMS calcd for C₂₀H₁₅F₃N₂O₂S: 404.4; found 405.0 (M+l)⁺. Anal. Calcd for C₂₀H₁₅F₃N₂O₂S; C, 59.40; H,3.74; N, 6.93; S, 7.93. Found C, 59.52; H, 3.721 N, 6.92; S, 8.04.

[0236] 3-(4,5,7-trifluorobenzothiazol-2yl)methyl-indole-N-acetic acid:

[0237] A solution of give 3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid, ethyl ester (5.91 g, 14.6 mmol) in 1,2-dimethoxyethane (73 mL, 0.2 M) was cooled to 0° C. and treated with aq. NaOH (1.25 N, 58 mL, 73.1 mmol) in a dropwise manner over 15 min. After the addition was complete, the solution was stirred for an additional 30 min, acidified to pH 3 with 2N HCl, and concentrated under reduced pressure. The residue was dissolved in ethyl acetate (200 mL) and washed with sat'd. aq. NaCl (30 mL). The organic extract was dried over Na₂SO₄, filtered and concentrated. The resulting material was stirred as a supension in heptane, filtered and dried to give 3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid (5.38 g, 98%) as a pale yellow solid: mp 177-178° C.; R_(f) 0.44 (20% methanol in dichloromethane); ¹H NMR (DMSO-d₆, 300 MHz) δ7.74−7.65 (m, 1 H), 7.53 (d, J=7.5 Hz, 1 H), 7.46 (s, 1 H), 7.40 (d, J=8.1 Hz, 1 H), 7.15 (b t, J=6.9 Hz, 1 H), 7.03 (b t, J=7.2 Hz, 1 H), 5.03 (s, 2 H), 4.65 (s, 2 H);

[0238] LRMS calcd for C₁₈H₁₁F₃N₂O₂S: 376.4; found 375.0 (M−1)⁻. Anal. Calcd for C₁₈H₁₁F₃N₂O₂S: C, 57.44; H, 2.95; N, 7.44; S, 8.52.

[0239] Found C, 57.58; H, 2.99; N, 7.38; S, 8.51.

EXAMPLE 4

[0240] Preparation of 5-methyl-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid

[0241] 5-Methyl-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic Acid was prepared in a manner analogous to that set forth in Example 2, except 5-methylindole was used instead of 5-chloroindole in part 1: mp 131-133° C.; ¹H NMR (DMSO-d₆, 300 MHz) δ7.73−7.62 (m, 1 H), 7.39 (s, 1 H), 7.30 (s, 1 H), 7.27 (d, J=9.0 Hz, 1 H), 6.96 (dd, J₁=9.0 Hz, J₂=2.4 Hz, 1 H), 4.98 (s, 2 H), 4.60 (s, 2 H), 2.32 (s, 3 H);

[0242] LRMS calcd for C₁₉H₁₃F₃N₂O₂S: 390.0; found 391.0 (M+1)⁺. Anal. Calcd for C₁₉H₁₃F₃N₂O₂S: C, 58.46; H, 3.36; N, 7.18; S, 8.21.

[0243] Found: C, 58.36; H, 3.30, N, 7.10, S, 8.20.

EXAMPLE 5

[0244] Preparation of 7-methyl-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid

[0245] 7-Methyl-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic Acid was prepared in a manner analogous to that set forth in Example 2, except 7-methylindole was used instead of 5-chloroindole in part 1: mp 216-218° C.; ¹H NMR (DMSO-d₆, 300 MHz) δ7.73−7.63 (m, 1H), 7.36−7.32 (m, 2 H) 6.92−6.88 (m, 2 H), 5.17 (s, 2 H), 4.60 (s, 2 H), 2.55 (s, 3 H); LRMS calcd for C₁₉H₁₃F₃N₂O₂S: 390.0; found 391.0 (M+1)⁺. Anal. Calcd for C₁₉H₁₃F₃N₂O₂S: C, 58.46; H, 3.36; N, 7.18; S, 8.21. Found: C, 58.37; H, 3.37; N, 7.11; S, 8.13.

EXAMPLE 6

[0246] Preparation of 6-chloro-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid

[0247] 6-Chloro-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic Acid was prepared in a manner analogous to that set forth in Example 2, except 6-chlorolindole was used instead of 5-chloroindole in part 1: mp 194-195° C.; ¹H NMR (DMSO-d₆, 300 MHz) δ7.73−7.63 (m, 1 H), 7.50 (d, J=8.4 Hz, 1 H), 7.46−7.42 (m, 2 H), 7.00 (dd, J₁=8.4 Hz, J₂=2.1 Hz, 1 H), 4.76 (s, 2 H), 4.62 (s, 2 H); LRMS calcd for C₁₈H₁₀F₃N₂O₂SCl: 410.0; found 411.0 (M+1)⁺. Analysis calculated for C₁₈H₁₀F₃N₂O₂SCl: C, 52.63; H, 2.45; N, 6.82; S, 7.81. Found: C, 52.50; H, 2.44, N, 6.74, S, 7.69.

EXAMPLE 7

[0248] Preparation of 5-benzyloxy-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid

[0249] 5-Benzyloxy-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic Acid was prepared in a manner analogous to that set forth in Example 2, except 5-benzyloxyindole was used instead of 5-chloroindole in part 1: mp 165-168° C.; ¹H NMR (DMSO-d₆, 300 MHz) δ7.73−7.65 (m,1 H) 7.40−7.30 (m, 3 H), 7.28−7.10 (m, 4 H), 7.10 (d, J=2.4 Hz, 1 H), 6.87−6.80 (m, 1 H), 5.05 (s, 2 H), 4.95 (s, 2 H), 4.57 (s 2 H); LRMS calcd for C₂₅H₁₇F₃N₂O₂S: 482.0; found 483.0 (M+1)⁺.

EXAMPLE 8

[0250] Preparation of 6-fluoro-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid

[0251] 6-fluoro-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic Acid was prepared in a manner analogous to that set forth in Example 2, except 6-fluoroindole was used instead of 5-chloroindole in part 1: mp 200-203 C.; ¹H NMR (DMSO-d₆, 300 MHz) δ7.73−7.65 (m, 1 H), 7.53 (dd, J₁=8.4 Hz, J₂=3.3 Hz, 1 H), 7.44 (s, 1 H), 7.34 (dd, J₁=10.5 Hz, J₂=2.4 Hz, 1 H), 6.93−6.68 (m, 1 H), 5.11 (s, 2 H), 4.64 (s, 2 H); LRMS calcd for C₁₈H₁₀F₄N₂O₂S: 394.0; found 395 (M+1).

EXAMPLE 9

[0252] Preparation of 5-fluoro-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid

[0253] 5-fluoro-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic Acid was prepared in a manner analogous to that set forth in Example 2, except 5-fluoroindole was used instead of 5-chloroindole in part 1: mp 193-195° C; ¹H NMR (DMSO-d₆, 300 MHz) δ7.65 (m, 1 H), 7.51 (s, 1 H), 7.42 (br dd, J₁=9.0 Hz, J₂=4.8 Hz, 1 H), 7.34 (br dd, J₁=9.9 Hz, J₂=2.4 Hz, 1 H), 7.02−6.96 (m, 1 H), 5.03 (s, 2 H), 4.62 (s, 2 H); LRMS calcd for C₁₈H₁₀F₄N₂O₂S: 394.0; found 395 (M+1).

EXAMPLE 10

[0254] Preparation of 6-methyl-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid

[0255] 6-methyl-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic Acid was prepared in a manner analogous to that set forth in Example 2, except 6-methylindole was used instead of 5-chloroindole in part 1: mp 211-213° C., R_(f)0.50 (10% methanol in diehloromethane); ¹H NMR (DMSO-d₆, 300 MHz) δ7.72−7.63 (m, 1 H), 7.37 (d, J=7.1 Hz, 1 H), 7.35 (s, 1 H), 7.18 (s, 1 H), 6.85 (d, J=8.4 Hz, 1 H), 5.08 (s, 2 H), 4.60 (s, 2 H), 2.37 (s, 3 H).

EXAMPLE 11

[0256] Preparation of 3-(5-trifluoromethylbenzothiazol-2-yl)methyl-indole-N-acetic Acid

[0257] 3-(5-trifluoromethylbenzothiazol-2-yl)methyl-indole-N-acetic Acid was prepared in a manner analogous to that set forth in Example 3 (parts 5-7), except 2-amino-4-(trifluoromethyl)-benzenethiol hydrochloride was used instead of 2-amino-3,4,6-trifluorothiophenol hydrochloride in part 6:

[0258] mp 233-234° C.; ¹H NMR (DMSO-d₆, 300 MHz) δ8.29 (s, 1 H), 8.19 (br d, J=8.1 Hz, 1 H), 7.68 (br d, J=9.0 Hz, 1 H), 7.49 (br d, J=6.9 Hz, 1 H), 7.41 (s, 1 H), 7.38 (br d, J=8.4 Hz, 1 H), 7.12 (br t, J=6.9 Hz, 1 H), 7.00 (br t, J=6.9 Hz, 1 H), 5.01 (s, 2 H), 4.60 (s, 2 H).

EXAMPLE 12

[0259] Preparation of 5-Methyl-3-(5-Trifluoromethylbenzothiazol-2-yl)methyl-indole-N-acetic acid

[0260] 5-Methyl-3-(5-trifluoromethylbenzothiazol-2-yl)methyl-indole-N-acetic acid was prepared in a manner analogous to that set forth in Example 2, except 5-methylindole was used instead of 5-chloroindole in part 1 and, 2-amino-4-(trifluoromethyl)-benzenethiol hydrochloride was used instead of 2-amino-3,4,6-trifluorothiophenol hydrochloride in part 2 (Example 3, part 6): mp 248-249° C.; ¹H NMR (DMSO-d₆, 300 MHz) δ8.27 (s, 1 H), 8.20 (d, J=8.4 Hz, 1 H), 7.68 (d, J=8.4 Hz, 1 H), 7.35 (s, 1 H), 7.27 (s, 1 H), 7.25 (d, J=8.1 Hz, 1 H), 6.95 (d, J=8.1 Hz, 1 H), 4.96 (s, 2 H), 4.57 (s, 2 H), 2.31, (s, 3 H); LRMS calcd for C₂₀H₁₅F₃N₂O₂S:; found 405 (M+H).

EXAMPLE 13

[0261] Preparation of 3-(3-nitrophenyl)methyl-indole-N-acetic acid

[0262] Preparation of indole-N-acetic acid, ethyl ester

[0263] Under an atmosphere of nitrogen-, a solution of indole (15.0 g, 128 mmol) in dry acetonitrile (300 mL, 0.4 M) was treated with sodium hydride (95%, 3.69 g, 153 mmol) and stirred for 30 min. Ethyl bromoacetate (17.0 mL, 153 mmol) was added in a dropwise manner over 10 min and the solution was stirred at room temperature for 16 h. After concentrating under reduced pressure, the resulting residue was dissolved in ethyl acetate and washed with sat'd. aq. NaCl. The organic extracts were dried over MgSO₄, filtered and concentrated. The crude product was purified by flash column chromatography (50% ethyl acetate in heptane): Rf0.25 (40% ethyl acetate in heptane) ¹H NMR (DMSO-d₆, 300 MHz) δ7.53 (d, J=6.3 Hz, 1 H), 7.38−7.31 (m, 2 H), 7.11 (br t, J=7.2 Hz, 1 H), 7.02 (br t, J=7.2 Hz, 1 H), 6.45−6.43 (m, 1 H), 5.10 (s, 2 H), 4.12 (q, J=7.2 Hz, 2 H), 1.19 (t, J=7.2 Hz, 3 H).

[0264] Preparation of 3-(3-nitrophenyl)methyl-indole-N-acetic acid, ethyl ester

[0265] Indole-N-acetic acid, ethyl ester (0.500 g, 2.50 mmol) was dissolved in 1,4-dioxane (5 mL) at room temperature with stirring. To this solution was added Ag₂CO₃/Celite (50% by weight, 0.500 g, 0.9 mmol). The mixture was warmed to 90° C. and maintained overnight. H₂O was added to the reaction mixture followed by extracted with EtOAc (2×). The organics were combined and washed with a sat'd brine solution, dried over MgSO₄, filtered and concentrated in vacuo. The residue was purified by SiO₂ flash chromatography (3:2 Heptane: EtOAc) to give 180 mg (22%) as a pale yellow oil. ¹H NMR (DMSO-d₆, 300 MHz) δ8.10 (s, 1H), 8.02 (d, J=8.1 Hz, 1 H), 7.75 (d, J=7.2 Hz, 1 H), 7.59−7.57 (m, 1 H), 7.46−7.39 (m, 1 H), 7.33 (d, J=8.1 Hz, 1 H), 7.20 (s, 1 H), 7.13−6.89 (m, 2 H), 5.06 (s, 2 H), 4.19 (s, 2 H), 4.13 (q, J=7.2 Hz, 2 H), 1.18 (t, J=7.2 Hz, 3 H).

[0266] Prepraration of 3-(3-nitrophenyl)methyl-indole-N-acetic Acid

[0267] 3-(3-Nitrophenyl)methyl-indole-N-acetic Acid, ethyl ester (0.175 g, 0.5 mmol) was dissolved in THF: EtOH (1:4, 5 mL) at room temperature with stirring. The mixture was cooled to 0° C. and treated with 1N NaOH (1.55 mL, 1.6 mmol). The mixture was allowed to stir at this temperature for 2 h. 1 N HCl was added and the mixture extracted with EtOAc (2×). The organics were combined and washed with a sat'd brine solution, dried over MgSO₄, filtered and concentrated in vacuo. The residue was triturated with heptane and vacuum-filtered with several heptane washings to give 110 mg (69%) the desired compound as an off-white powder. mp 163-165° C.; ¹H NMR (DMSO-d₆, 300 MHz) δ8.11 (s, 1 H), 8.03 (d, J=8.1 Hz, 1 H), 7.75 (d, J=8.1 Hz, 1 H), 7.53 (t, J=8.1 Hz, 1 H), 7.45 (d, J=8.1 Hz, 1 H), 7.33 (d, J=8.4 Hz, 1 H), 7.20 (s, 1 H), 7.11 (t, J=7.2 Hz, 1 H), 6.97 (t, J=7.2 Hz, 1 H), 4.96 (s, 2 H), 4.18 (s, 2 H);

[0268] LRMS calcd for C₁₇H₁₄N₂O₂S: 310.0; found 311 (M+1)⁺.

EXAMPLE 14

[0269] Preparation of 2-phenyl-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid

[0270] 2-phenyl-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid was prepared in a manner analogous to that set forth in Example 2, except that 2-phenylindole was used instead of 5-chloroindole in part 1: mp 238-239° C.; R_(f) 0.60 (10% methanol in chloroform); ¹H NMR (DMSO-d₆, 300 MHz) δ7.60-7.70 (m, 1H), 7.39-7.58 (m, 7H), 7.20 (t, J=9 Hz, 1H), 7.07 (t, J=9 Hz, 1H), 4.80 (s, 2H), 4.45 (s, 2H); LRMS calcd for C₂₄H₁₅F₃N₂O₂S: 452.0; found 453.0 (M+1)⁺. Anal. Calcd for C₂₄H₁₅F₃N₂O₂S: C, 63.71; H, 3.34; N, 6.19; S, 7.09. Found: C, 63.46; H, 3.32; N, 6.11; S, 6.96.

EXAMPLE 15

[0271] Preparation of 5-phenyl-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid

[0272] 3-cyanomethyl-5-phenyl-indole-N-acetic acid, ethyl ester

[0273] 5-Bromo-3-cyanomethyl-indole-N-acetic acid, ethyl ester (1.0 g, 3.1 mmol) and phenylboronic acid (0.418 g, 3.4 mmol) were dissolved in anhydrous DME at room temperature under a nitrogen atmsophere and treated with Pd(OAc)₂ (2.1 mg, 0.0093 mmol) and PPh₃ (7.4 mg, 0.028 mmol). This mixture was heated to reflux and 2 M Na₂CO₃ (3.11 mL, 6.2 mmol) was added via syringe. After 12 h, the mixture was cooled to room temperature and added to H₂O (50 mL). The resultant mixture was extracted with EtOAc (2×, 100 mL) and the organics were combined and washed with a sat'd aqueous NaCl solution, dried over MGSO₄, filtered and concentrated in vacuo. The residue was purified by SiO₂ flash chromatography (heptane to 1:1 heptane/EtoAc) to give the desired material as a white solid (445 mg, 45%); ¹H NMR (DMSO-d₆, 300 MHz) δ7.64-7.74 (m, 4H), 7.39-7.44 (m, 4H), 7.29-7.34 (m, 1H), 5.20 (s, 2H), 4.15 (q, J=7.2 Hz, 2H), 4.08 (s, 2H), 1.20 (t, J=7.2 Hz, 3H).

[0274] 5-phenyl-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl indole-N-acetic acid

[0275] 5-phenyl-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid was prepared in a manner analogous to that set forth in Example 2, except that 5-phenylindole was used instead of 5-chloroindole in part 1: mp 156-159° C.; R_(f) 0.55 (10% methanol in chloroform); ¹H NMR (DMSO-d₆, 300 MHz) δ7.66-7.69 (m, 4H), 7.57-7.60 (m, 1H), 7.39-7.47 (m, 3H), 7.29-7.35 (m, 2H), 5.06 (s, 2H), 4.66 (s, 2H); LRMS calcd for C₂₄H₁₅F₃N₂O₂S: 452.0; found 453.0 (M+1)⁺. Anal. Calcd for C₂₄H₁₅F₃N₂O₂S: C, 63.71; H, 3.34; N, 6.19; S, 7.09. Found: C, 63.54; H, 3.32; N, 6.13; S, 7.01.

EXAMPLE 16

[0276] Preparation of 6-phenyl-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid

[0277] Part 1: 6-Phenylindole

[0278] A solution of 6-bromoindole (2.0 g, 10.20 mmol) in anhydrous toluene (20 mL) under a nitrogen atmosphere was treated with Pd[P(Ph₃)]₄ (10% mol). After stirring the mixture for 30 min., phenylboronic acid (1.87 g, 15.30 mmol) in anhydrous EtOH (10 mL) was added followed by the addition of sat'd NaHCO₃ (6 mL). The bi-phasic mixture was heated to reflux for 24 h. After cooling to room temperature, the mixture was added to a sat'd brine solution and extracted with EtOAc (2×). The organic layer was dried over MgSO₄, filtered and concentrated in vacuo. The residue was purified by flash column chromatography (1:1 CH₂Cl₂/heptane) to give the desired material as white powder (900 mg, 45%): ¹H NMR (DMSO-d₆, 300 MHz) δ11.15 (br s, 1H), 7.58-7.66 (m, 4H), 7.41-7.47 (m, 2H), 7.36 (m, 1H), 7.26-7.31 (m, 2H), 6.42 (m, 1H).

[0279] Preparation of 6-phenyl-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl indole-N-acetic acid

[0280] 6-phenyl-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid was prepared in a manner analogous to that set forth in Example 2, except that 6-phenylindole was used instead of 5-chloroindole in part 1: mp 156-159° C.; R_(f) 0.50 (10% methanol in chloroform); ¹H NMR (DMSO-d₆, 300 MHz) δ7.65-7.75 (m, 4H), 7.57-7.62 (m, 1H), 7.41-7.50 (m, 3H), 7.26-7.38 (m, 2H), 5.12 (s, 2H), 4.68 (s, 2H); LRMS calcd for C₂₄H₁₅F₃N₂O₂S; 452.0; found 453.0 (M+1)⁺. Anal. Calcd for C₂₄H₁₅F₃N₂O₂S: C, 63.71; H, 3.34; N, 6.19; S, 7.09. Found: C, 63.46; H, 3.33; N, 6.10; S, 6.96.

EXAMPLE 17

[0281] Preparation of 5-morpholino-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid

[0282] 5-Morpholino-2-nitrotoluene

[0283] A mixture of 5-fluoro-2-nitrotoluene (5.11 g, 32.9 mmol), morpholine (4.31 mL, 49.4 mmol) and K₂CO₃ (6.83 g, 49.4 mmol) was diluted in anhydrous DMSO (80 mL) at room temperature with stirring. The mixture was heated to 80° C. for 24 h. After cooling to room temperature, H₂O was added and the resultant mixture was extracted with EtOAc (3×, 50 mL ). The organic layer was washed with sat'd aqueous NaCl (100 mL), dried over MgSO₄, filtered and concentrated in vacuo. The remaining solid was triturated in heptane (200 mL) and filtered to give the desired material (7.10 g, 97%) as a yellow powder: R_(f) 0.40 (75% heptane/25% ethyl acetate). ¹H NMR (DMSO-d₆, 300 MHz) δ7.96 (d, J=9.9 Hz, 1H), 8.85-8.88 (m, 2H), 3.70 (t, J=5.0 Hz, 4H), 3.35 (t, J=5.0 Hz, 4H), 2.53 (s, 3H).

[0284] Preparation of 5-Morpholinoindole

[0285] Under an atmosphere of nitrogen, a solution of 5-morpholinyl-2-nitrotoluene (7.0 g, 31.5 mmol) in DMF (100 mL) was treated with dimethylformamide dimethyl acetal (4.81 mL, 36.2 mmol) and pyrrolidine (2.62 mL, 31.5 mL). The mixture was heated to 100° C. and maintained for 12 h. After cooling, the mixutre was concentrated in vacuo to give the desired intermediate as a brick-red solid.

[0286] The intermediate enamine was dissolved in EtOAc (200 mL) and added to a pre-charged Parr bottle with 10% Pd/C (600 mg) in EtOAc (40 mL). The mixture was hydrogentated on a Parr-shaker at 55 psi for 2.5 h. The catalyst was filtered through a Celite plug with several washings with EtOAc and the remaining filtrate concentrated in vacuo. The residue was purified by SiO₂ flash chromatography (1:1 Hept/EtOAc) to give 2.0 g (31% over 2 parts) of the desired indole as a cream powder: R_(f) 0.30 (10% methanol in chloroform); ¹H NMR (DMSO-d₆, 300 MHz) δ10.77 (br s, 1H), 7.24 (s, 1H), 7.18-7.20 (m, 1H), 6.97 (d, J=1.8 Hz, 1H), 6.81 (dd, J₁=8.7 Hz, J₂=2.1 Hz, 1H), 6.25 (dd, J₁=3.0 Hz, J₂=1.8 Hz, 1H), 3.7 (t, J=4.50 Hz, 4H), 2.96 (t, J=4.50 Hz, 4H).

[0287] Preparation of 5-morpholino-3(4,5,7-trifluorobenzothiazol-2-yl)methylindole-N-acetic acid

[0288] 5-morpholino-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl indole-N-acetic acid was prepared in a manner analogous to that set forth in Example 2, except that 5-morpholinoindole was used instead of 5-chloroindole. ¹H NMR (DMSO-d₆, 300 MHz) δ7.64-7.72 (m, 1H), 7.34 (s, 1H), 7.26 (d, J=9.0 Hz, 1H), 7.06 (d, J=2.4 Hz, 1H), 6.91 (dd, J₁=9.0 Hz, J₂=2.4 Hz, 1H), 4.95 (s, 2H), 4.60 (s, 2H), 3.70-3.73 (m, 4H), 2.97-3.00 (m, 4H); LRMS calcd for C₂₂H₁₈F₃N₃O₃S: 461.0; found 462 (M+1)⁺.

[0289] Anal. Calcd for C₂₂H₁₈F₃N₃O₃S 1H₂O: C, 55.11; H, 4.20; N, 8.76; S, 6.69. Found: C, 55.11; H, 4.05; N, 8.57; S, 6.50.

EXAMPLE 18

[0290] Preparation of 6-morpholino-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid

[0291] Preparation of 4-Morpholino-2-nitrotoluene

[0292] A mixture of 4-fluoro-2-nitrotoluene (15.34 g, 98.9 mmol), morpholine (12.94 mL, 49.4 mmol) and K₂CO₃ (6.83 g, 148.3 mmol) were diluted in anhydrous DMSO (250 mL) at room temperature with stirring. The mixture was heated to 120° C. for 24 h. After cooling to room temperature, H₂O was added and the resultant mixture was extracted with EtOAc (3×, 75 mL). The organic layer was washed with sat'd brine (100 mL), dried over MgSO₄, filtered and concentrated in vacuo. The remaining solid was triturated in hepatane (200 mL) and filtered to give the desired material (8.00 g, 36.4%) as a yellow powder: R_(f) 0.40 (25% ethyl acetate in heptane). ¹H NMR (DMSO-d₆, 300 MHz) δ7.40 (d, J=2.7 Hz, 1H), 7.30 (d, J=8.7 Hz, 1H), 7.20 (dd, J₁=8.7 Hz, J₂=2.7 Hz, 1H), 3.70 (t, J=4.8 Hz, 4H), 3.35 (t, J=4.8 Hz, 4H), 2.36 (s, 3H).

[0293] Preparation of 6-Morpholinoindole

[0294] Under an atmosphere of nitrogen, a solution of 4-morpholino-2-nitrotoluene (7.1 g, 31.9 mmol) in DMF (100 mL) was treated with dimethylformamide dimethyl acetal (4.92 mL, 37.1 mmol) and pyrrolidine (2.67 mL, 31.9 mL). The mixture was heated to 100° C. and maintained for 12 h. After cooling, the mixture was concentrated in vacuo to give the desired intermediate as a brick-red solid. The crude intermediate was dissolved in glacial HOAc (250 mL) and warmed to 85° C. Zn (18.17 g, 0.278 mol) was added to -the solution portionwise over 30 min. The mixture was heated for 4 h. After cooling to room temperature, the mixture was neutralized with sat'd NaHCO₃ and extracted with Et₂O (3×, 300 mL). The combined organics were washed with sat'd brine, dried over MgSO₄, filtered and concentrated in vacuo. The residue was purified by SiO₂ flash chromatography (heptane to 2:1 heptane/EtOAc) to give the desired material as a white crystalline powder (1.0 g, 11% over 2 parts): R_(f) 0.50 (2:1 Heptane/EtOAc); ¹H NMR (DMSO)-d₆, 300 MHz) δ10.73 (br s, 1H), 7.35 (d, J=8.4 Hz, 1H), 7.11 (d, J=2.4 Hz, 1H), 6.80 (s, 1H), 6.73 (dd, J₁=8.4 Hz, J₂=2.4 Hz, 1H), 6.25 (d, J=2.4 Hz, 1H), 3.72 (t, J=4.8 Hz, 4H), 3.02 (t, J=4.8 Hz, 1H).

[0295] Preparation of 6-morpholino-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl indole-N-acetic acid

[0296] 6-morpholino-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl indole-N-acetic acid was prepared in a manner analogous to that set forth in Example 2, except that 6-morpholinoindole was used instead of 5-chloroindole in part 1: mp 178-180° C.; ¹H NMR (DMSO-d₆, 300 MHz) δ7.66-7.72 (m, 1H), 7.37 (d, J=8.4 Hz, 1H), 7.29 (s, 1H), 7.06 (d, J=2.4 Hz, 1H), 6.84 (d, J=8.4 Hz, 1H), 4.96 (s, 2H), 4.58 (s, 2H), 3.37-3.75 (m, 4H), 3.09-3.13 (m, 4H); LRMS calcd for C₂₂H₁₈F₃N₃O₃S: 461.0; found 462 (M+1)⁺. Anal. Calcd for C₂₂H₁₈F₃N₃O₃S CH₂Cl₂ 0.50H₂O: C, 49.74; H, 3.72; N, 7.57; S, 5.77 Found C, 49.73; H, 3.36; N, 7.69; S, 5.58

EXAMPLE 19

[0297] Preparation of 5-phenoxy-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid

[0298] 5-Phenoxy-2-nitrotoluene

[0299] A solution of phenol (12.16 g, 0.129 mol) in anhydrous DMSO was treated with K₂CO₃ (17.88 g, 0.129 mol) and stirred at room temperature for 15 min. 5-Fluoro-2-nitrotoluene (13.38 g, 0.086 mol) was added to the solution via syringe. The resultant mixture was heated to 80° C. for 12 h. After cooling to room temperature, the mixture was poured into H₂O (100 mL) After extraction with EtOAc (2×, 100 mL), the organics were combined and washed with a sat'd brine solution, drieds over MgSO₄, filtered and concentrated in vacuo. The residue was purified by flash column chromatography (heptane to 8:1 heptane/EtOAc) to give the desired material as a yellow crystalline solid (12.50 g, 63%): R_(f) 0.60 (85% heptane/15% EtOAc); ¹H NMR (DMSO-d₆, 300 MHz) δ8.05 (d, J=9.0 Hz, 1H), 7.44-7.47 (m, 2H), 7.23-7.29 (m, 1H), 7.12-7.16 (m, 2H), 7.04 (d, J=2.7 Hz, 1H), 6.90 (dd, J₁=9.0 Hz, J₂=2.7 Hz, 1H), 2.51 (s, 3H).

[0300] 5-Phenoxyindole

[0301] A solution of 5-phenoxy-2-nitrotoluene (10.03 g, 0.0428 mol) in anhydrous DMF was treated with N,N-dimethylformamide dimethyl diacetal (6.73 mL, 0.0508 mol) and pyrrolidine (3.63 mL, 0.0438 mol) and heated to 110 C for 2.5 h. After cooling to room temperature, the mixture was diluted with EtOAc (500 mL) and washed H₂O (500 mL). The organics were dried over MgSO4, filtered and concentrated in vacuo. The crude intermediate was dissolved in glacial HOAc (250 mL) and warmed to 85° C. Zn (24.62 g, 0.377 mol) was added to the solution portion wise over 30 min. The mixture was heated for 4 h. After cooling to room temperature, the mixture was neutralized with sat'd NaHCO₃ and extracted with Et₂O (3×, 300 mL). The combined organics were washed with sat'd brine, dried over MgSO₄, filtered and concentrated in vacuo. The residue was purified by SiO₂ flash chromatography (heptane to 2:1 heptane/EtOAc) to give the desired material as a white crystalline powder (3.1 g, 34% over 2 parts): R_(f) 0.50 (2:1 Heptane/EtOAc);

[0302]¹H NMR (DMSO-d₆, 300 MHz) δ11.12 (br s, 1H), 7.48 (s, 1H), 7.30-7.38 (m, 1H), 7.25-7.29 (m, 2H), 7.17 (d, J=2.7 Hz, 1H), 6.89-7.02 (m, 1H), 6.86-6.88 (m, 2H), 6.80 (dd, J₁=8.7 Hz, J₂=2.4 Hz, 1H), 6.37 (m, 1H).

[0303] Preparation of 5-phenoxy-3-(4,5,7-triflurobenzothiazol-2-yl)methyl indole-N-acetic acid

[0304] 5-phenoxy-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl indole-N-acetic acid was prepared in a manner analogous to that set forth in Example 2, except that 5-phenoxyindole was used instead of 5-chloroindole in part 1: mp 128-130° C.; R_(f) 0.45 (10% methanol in chloroform ); ¹H NMR (DMSO-d₆, 300 MHz) δ7.65-7.70 (m, 1H), 7.47 (s, 1H), 7.42 (d, J=8.4 Hz, 1H), 7.21-7.27 (m, 3H), 6.98 (m, 1H), 6.83-6.90 (m, 3H), 5.02 (s, 2H), 4.60 (s, 2H); LRMS calcd for C₂₄H₁₅F₃N₂O₃S: 468.0; found 467.0 (M−1)⁻. Anal. Calcd for C₂₄H₁₅F₃N₂O₃S: C, 55.11; H, 4.20; N, 8.76; S, 6.69. Found: C, 55.11; H, 4.05; N, 8.57; S, 6.50.

EXAMPLE 20

[0305] Preparation of 7-fluoro-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid

[0306] 7-Fluoro-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl indole-N-acetic acid was prepared in a manner analogous to that set forth in Example 2, except that 7-fluoroindole was used instead of 5-chloroindole in part 1: mp 194-196° C.; R_(f) 0.60 (10% methanol in chloroform ); ¹H NMR (DMSO-d₆, 300 MHz) δ7.67-7.73 (m, 1H), 7.46 (s, 1H), 7.35 (d, J=7.2 Hz, 1H), 6.89-6.99 (m, 2H), 5.06 (s, 2H), 4.64 (s, 2H); LRMS calcd for C₁₈H₁₀F₄N₂O₂S.H₂O: C,50.23; H, 3.28; N, 6.51; S, 7.45. Found C, 50.70; H, 2.52; N, 6.60; S, 7.57. 394.0; found 395.0 (M+1)⁺.

[0307] Anal. Calcd for C₁₈H₁₀F₄N₂O₂S

EXAMPLE 21

[0308] Preparation of 7-bromo-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid

[0309] 7-bromo-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl indole-N-acetic acid was prepared in a manner analogous to that set forth in Example 2, except that 7-bromoindole was used instead of 5-chloroindole in part 1: mp 228-230° C.; R_(f) 0.40 (10% methanol in chloroform); ¹H NMR (DMSO-d₆, 300 MHz) δ7.65-7.74 (m, 1H), 7.57 (d, J=7.8 Hz, 1H), 7.49 (s, 1H), 7.32 (d, J=7.8 Hz, 1H), 6.94 (t, J=7.8 Hz, 1H), 5.29 (s, 2H), 4.65 (s, 2H); LRMS calcd for C₁₈H₁₀F₃N₂O₂SBr: 454.0 for (⁷⁹Br and 456.0 for ⁸¹Br); found 453.0 (M−1)⁻ and 455.0 (M−1)⁻. Anal Calcd for C₁₈H₁₀F₃N₂O₂SBr: C, 47.49; H, 2.21; N, 6.15; S, 7.04. Found: C, 47.65;H, 2.27; N, 6.15; S, 6.98.

EXAMPLE 22

[0310] Preparation of 7-chloro-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid

[0311] 7-chloro-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl indole-N-acetic acid was prepared in a manner analogous to that set forth in Example 2, except that 7-chloroindole was used instead of 5-chloroindole in part 1: mp 228-230° C.; R_(f) 0.38 (10% methanol in chloroform ); ¹H NMR (DMSO-d₆, 300 MHz) δ7.62-7.73 (m, 1H), 7.52 (d, J=7.5 Hz, 1H), 7.49 (s, 1 H), 7.15 (d, J=7.5 Hz, 1H), 7.00 (t, J=7.5 Hz, 1H), 5.25 (s, 2H), 4.65 (s, 2H); LRMS calcd for C₁₈H₁₀F₃N₂O₂SCl: 410.0; found 409.0 (M−1)⁻. Anal. Calcd for C₁₈H₁₀F₃N₂O₂SCl: C, 52.63; H, 2.45; N, 6.82; S, 7.81. Found: C, 52.60; H, 2.54; N, 6.66; S, 7.59.

EXAMPLE 23

[0312] 3-[5-Fluorbenzothiazole-2-yl]methyl-indole-N-acetic Acid

[0313] 3-[5-fluorbenzothiazole-2-yl]methyl-indole-N-acetic acid was prepared in a manner analogous to that set forth in Example 3, except 2-amino-4-fluorothiophenol hydrochloride was used instead of 2-amino-4,5,7-trifluorothiophenol hydrochloride in part 6: mp 208° C. (decomp); R_(f)0.10 (10% methanol in diehloromethane) ¹H NMR (DMSO-d₆, 300 MHz) δ12.91 (s, 1 H), 7.98 (dd, J=8.9, 5.6 Hz: 1 H), 7.78 (dd, J=10.0, 2.6 Hz, 1 H), 7.50 (d, J=7.8 Hz, 1 H), 7.40 (s, 1 H), 7.37 (d, J=7.8 Hz, 1 H), 7.26 (dt, J=8.9, 2.4 Hz, 1 H), 7.13 (t, J=7.8 Hz, 1 H), 7.01 (t, J=7.8 Hz, 1 H), 5.01 (s, 2 H), 4.56 (s, 2 H); LRMS m/z 341.0 (M+1)⁺, 339.0 (M−1). Anal. Calcd for C₁₈H₁₃FN₂O₂S: C, 63.52; H, 3.85; N, 8.23; S, 9.42;

[0314] Found: C, 63.40; H, 3.80; N, 8.37; S, 9.43.

EXAMPLE 24

[0315] 3-[6-Fluorbenzothiazole-2-yl]methyl-indole-N-acetic Acid

[0316] 3-[6-fluorbenzothiazole-2-yl]methyl-indole-N-acetic acid was prepared in a manner analogous to that set forth in Example 3, except 2-amino-5-fluorothiophenol hydrochloride was used instead of 2-amino-4,5,7-trifluorothiophenol hydrochloride in part 6: mp 203° C. (decomp) R_(f)0.13 (10% methanol in diehloromethane); ¹H NMR (DMSO-d₆, 300 MHz) δ12.91 (s, 1 H), 7.95 (dd, J=8.9, 5.0 Hz: 1 H), 7.86 (dd, J=8.8, 2.8 Hz, 1 H), 7.50 (d, J=7.5 Hz, 1 H), 7.40−7.35 (m, 2 H), 7.32 (dt, J=8.9, 2.7 Hz, 1 H), 7.13 (t, J=7.6 Hz, 1 H), 7.00 (t, J=7.6 Hz, 1 H), 5.01 (s, 2 H), 4.54 (s, 2 H); LRMS m/z 341.0 (M+1)⁺, 339.0 (M−1. Anal. Calcd for C₁₈H₁₃FN₂O₂S: C, 63.52; H, 3.85; N, 8.23; S, 9.42. Found: C, 63.52; H, 3.86; N, 8.35; S, 9.53.

[0317] The compounds of Examples 25-32 were prepared essentially according to the procedures set forth above in examples land/or 2 with appropriate substitution of starting materials.

EXAMPLE 25

[0318] 3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-2-propionic acid

[0319] mp 176-177° C.; R_(f) 0.34 (20% methanol in dichlormethane); ¹H NMR (DMSO-d₆, 300 MHz) δ7.60-7.73 (m, 1H), 7.60 (s, 1H), 7.52 (d, J=8.1 Hz, 1H), 7.44 (d, J=8.1 Hz, 1H), t, J=7.5 Hz, 1H), 7.02 (t, J=7.5 Hz, 1H), 5.35 (q, J=8.1 Hz, 1H), 4.64 (s, 2H), 1.72 (d, J=8.1 Hz, 3H); LRMS calcd for C₁₉H₁₃F₃N₂O₂S: 390.0;

[0320] Found 391.0 (M⁺1)⁺. Anal. Calcd for C₁₉H₁₃F₃N₂O₂SH₂O: C, 55.88; H, 3.70; N, 6.86; S, 7.85 Found: C, 56.09; H, 3.31; N, 6.89; S, 7.99.

EXAMPLE 26

[0321] 3-(4-5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-3-propionic acid

[0322] mp 200-201° C.; R_(f) 0.50 (20% methanol in dichloromethane); ¹H NMR (DMSO-d₆, 300 MHz) δ7.63-7.71 (m, 1H), 7.51 (s, 1H), 7.47 (d, J=3.0 Hz, 2H), 7. 14 (t, J=7.5 Hz, 1H), 7.00 (t, J=7.5 Hz, 1H), 4.61 (s, 2H), 4.39 (t, J=6.6 Hz, 2H), 2.75 (t, J=6.6 Hz, 2H); LRMS calcd for C₁₉H₁₃F₃N₂O₂S: 390.0; Found 391.0 (M+1)⁺.

[0323] Anal Calcd for C₁₉H₁₃F₃N₂O₂S: C, 58.46; H, 3.36; N, 7.18; S, 8.21

[0324] Found: C, 58.63; H, 3.40; N, 7.20; S, 8.30.

EXAMPLE 27

[0325] Preparation of 6-Bromo-3-(5-trifluoromethylbenzothiazol-2-yl)methyl-indole-N-acetic acid:

[0326] mp 265-267° C.; R_(f) 0.19 (20% methanol in dichloromethane); ¹H NMR (DMSO-d₆, 300 MHz) δ8.28 (s, 1H), 8.22 (d, J=8.7 Hz, 1H), 7.67-7.69 (m, 2H), 7.43-7.47 (m, 2H), 7.14 (d, J=9.0 Hz, 1H), 5.04 (s, 2H), 4.61 (s, 2H); LRMS calcd for C₁₉H₁₂F₃N₂O₂SBr:469.0; Found 469.0 (M+1)⁺ for Br=79. Anal. Calcd for C₁₉H₁₂F₃N₂O₂SBr: C, 48.63; H, 2.58; N, 5.97; S, 6.83. Found: C, 48.60; H, 2.63; N, 5.88; S, 6.91.

EXAMPLE 28

[0327] 6-Methoxy-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid:

[0328] mp 118-120° C.; R_(f) 0.27 (20% methanol in dichloromethane); ¹H NMR (DMSO-d₆, 300 MHz) δ7.63-7.73 (m, 1H), 7.39 (s, 1H), 7.28 (d, J=8.7 Hz, 1H), 7.07 (s, 1H), 6.78 (d, J=8.7 Hz, 1H), 4.97 (s, 2H), 4.61 (s, 2H); 3.07 (s, 3H);

[0329] LRMS calcd for C₁₉H₁₃F₃N₂O₃S: 406.0; Found 407.0 (M+)⁺. Anal. Calcd for C₁₉H₁₃F₃N₂O₃SH₂O: C, 53.77; H, 3.56; N, 6.60; S, 7.56

[0330] Found: C, 53.87; H, 3.56; N, 6.67; S, 7.67.

EXAMPLE 29

[0331] 4-Chloro-3-(4,5,7-trifluorobenzothiazol-2yl)methyl-indole-N-acetic acid

[0332] mp 203-206° C.; R_(f) 0.24 (20% methanol in dichloromethane); ¹H NMR (DMSO-d₆, 300 MHz) δ7.63-7.71 (m, 1H), 7.57 (s, 1H), 7.33 (d, J=9.0 Hz, 1H), 7.12 (dd, J (₁)=9.0, J (₂)=7.8 Hz, 1H), 7.03 (d, J=7.8 Hz, 1H), 5.08 (s, 2H), 4.78 (s, 2H); LRMS calcd for C₁₈H₁₀F₃N₂O₂SCl: 410.0; Found 411.0 (M+l)⁺ and 409.0 (M−1)⁻.

EXAMPLE 30

[0333] 5-Methoxy-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid

[0334] mp 165-167° C.; R_(f) 0.37 (20% methanol in dichloromethane); ¹H NMR (DMSO-d₆, 300 MHz) δ7.61-7.70 (m, 1H), 7.35 (d, J=9.0 Hz, 1H), 7.26 (s, 1H), 6.90 (s, 1H), 6.64 (d, J=9.0 Hz, 1H), 4.79 (s, 2H); 4.56 (s, 2H), 3.72 (s, 3H); LRMS calcd for C₁₀H₁₃F₃N₂O₂S: 406.0; Found 407.0 (M+1)⁺ and 405.0 (M−1)⁻.

EXAMPLE 31

[0335] 5-Bromo-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid:

[0336] mp 209-294° C.; R_(f) 0.18 (20% methanol in dichloromethane); ¹H NMR (DMSO-d₆, 300 MHz) δ7.78 (d, J=1.8 Hz, 1H), 7.65-7.73 (m, 1H), 7.49 (s, 1H), 7.61 (d, J=9.0 Hz, 1H), 7.25 (dd, J (₁)=9.0 Hz, J (₂)=1.8 Hz, 1H), 5.04 (s, 2H); 4.64 (s, 2H); LRMS calcd for C₁₈H₁₀F₃N₂O₂SBr: 455.0; Found 455.0 (M+1)⁺ for Br 79 and 457 (M+1)⁺ for Br 81.

EXAMPLE 32

[0337] 3-(6-chlorobenzothiazol-2-yl)methyl-indole-N-acetic acid

EXAMPLE 33

[0338] Representative compounds of Formula Iwere tested for their potency, selectivity and efficacy as inhibitors of human aldose reductase. The potency or aldose reductase inhibiting effects of the compounds were tested using methods similar to those described by Butera et al. in J. Med. Chem. 1989, 32, 757. Using this assay, the concentrations required to inhibit human aldose reductase (hALR2) activity by 50% (IC50) were determined.

[0339] In a second assay, a number of the same compounds were tested for their ability to inhibit aldehyde reductase (hALR1), a structurally related enzyme. The test methods employed were essentially those described by Ishii, et al., J. Med. Chem. 1996 39: 1924. Using this assay, the concentrations required to inhibit human aldehyde reductase activity by 50% (IC50) were determined.

[0340] From these data, the hALR1/hALR2 ratios were determined. Since high potency of test compounds as inhibitors of aldose reductase is desirable, low hALR2 IC50 values are sought. On the other hand, high potency of test compounds as inhibitors of aldehyde reductase is undesirable, and high hALR1 IC50s values are sought. Accordingly, the hALR1/hALR2 ratio is used to determine the selectivity of the test compounds. The importance of this selectivity is described in Kotani, et al., J. Med. Chem. 40: 684, 1997.

[0341] The results of all these tests are combined and illustrated in Table 1. TABLE 1 Example hALR2 HALR1 HALR1/ # (IC50) (IC50) hALR2 1 8 nM 13,000 nM 1,200 2 10 nM 11,000 nM 1,100 3 5 nM 27,000 nM 5,400 4 8 nM 34,000 nM 4,250 5 6 nM 21,000 nM 3,500 6 8 nM 2,700 nM 340 7 12 nM 4,800 nM 400 8 7 nM 7,500 nM 1,100 9 11 nM 21,000 nM 1,900 10 5 nM 13,000 nM 2,600 11 99 nM 5,600 nM 57 12 102 nM 10,000 nM 98 13 73 nM 13,000 nM 178 14 101 nM 16,000 160 15 53 nM 10,000 190 16 25 nM 6,200 nM 248 17 8 nM 41,000 nM 5,100 18 15 nM >100 μM >6,700 19 30 nM 11,000 nM 370 20 7 nM 7,000 nM 1,000 21 14 nM 18,000 nM 1,300 22 9.1 nM 19,000 nM 2,100 23 9 nM 6,500 nM 720 24 1,040 nM 4,500 nM 4 25 160 nM 6,500 nM 41 26 17 nM 88,000 nM 5,200 27 52 nM <5,000 nM <96 28 5 nM 12,000 nM 2,400 29 11 nM 14,000 1,270 30 7.7 nM 21,000 nM 2,700 31 13 nM 9,700 746 32 660 nM Not Tested Not Tested Tolrestat 13 nM 1,940 nM 149

[0342] The results show the superior potency, selectivity and efficacy of representative compounds of Formula I. Such compounds are useful in the treatment of chronic complications arising from diabetes mellitus, such as, for example, diabetic cataracts, retinopathy and neuropathy. Accordingly, an aspect of the invention is treatment of such complications with the compounds of Formula I and the pharmaceutical compositions of the invention; treatment includes both prevention and alleviation. The compounds and compositions are useful in the treatment of, for example, diabetic cataracts, retinopathy, nephropathy and neuropathy.

[0343] In a third, optional, set of experiments, the compounds can be assayed for their ability to normalize or reduce sorbitol accumulation in the sciatic nerve of streptozotocin-induced diabetic rats. The test methods employed to determine the efficacy are essentially those of Mylari, et al., J. Med. Chem. 34: 108, 1991.

EXAMPLE 34

[0344] The blood glucose lowering activity of the compounds of Formula I is demonstrated using the following experiments with diabetic (db/db) mice.

[0345] The db/db (C57BL/KsJ) mouse exhibits many of the metabolic abnormalities that are associated with type 2 diabetes in humans. The mice are obese, extremely hyperglycemic and also hyperinsulinemic. Antihyperglycemic agents that are available to man and also are effective in this model include metformin and troglitazone, both of which begin to demonstrate a beneficial effect in the db/db mice at doses above 100 mg/kg/day. Thus, compounds that are effective in this model are expected to be effective in humans.

[0346] Male db/db mice (8 weeks old) were obtained from Jackson Laboratories and were allowed to acclimate for 1 week before the experiment commenced. A sample of blood was collected from the tail after which plasma glucose was isolated by centrifigation and the glucose concentration was measured in the plasma enzymatically on the COBAS automated clinical analyzer equipped with a glucose kit that utilized hexokinas to quantitate the amount of glucose in a sample (Roche Diagnostic Systems, kit #47382). Mice with the lowest plasma glucose values were removed from the study and the remaining mice were randomized according to their individual plasma glucose values into 3 treatment groups (n=12 per group), control untreated db/db mice, 100 mg/kg/d compound treated db/db mice and 300 mg/kg/d compound treated db/db mice. The compound of Example 3 was administered in the diet by admixing the compound into the standard rodent powdered chow (Tekland LM-485 Mouse/Rat Sterilizable Diet 7012, Harlan Tekland).

[0347] Treatment with the compound was carried out for 4 weeks during which time blood glucose levels were measured weekly from the tail using the One Touch II blood glucose meter (Lifescan, Inc). The blood glucose values of mice in the compound treated groups was compared to the blood glucose values of mice from the control untreated group by an analysis of variance followed by Dunett's Comparison Test (one-tailed).

[0348] The results in Table 2 show that Compound of Example 3 lowers glucose in the diabetic db/db mouse over the 4 week study period. The mean percent change in glucose with drug treatment after four weeks of compound administration was 12% at a dose of 100 mg/kg/d and a 40% lowering of blood glucose at a dose of 300 mg/kg/d. This degree of glucose lowering is similar to what has been reported for troglitazone [+-5[[4-[(3,4-dihydro-6-hydroxy-2,5,7,8-tetramethyl-2H-1-benzopyran-2-yl)methoxy]phenyl]methyl]-2,4-thiazolidinedione] also known as CS-045 (Endocrinology, 1996, 137, 4189) and much better than that reported for metformin in this model. Thus the compounds of this invention are well suited as antihyperglycemic agents. TABLE 2 Blood glucose lowering Blood glucose (mg/dl) Group Week 0 Week 2 Week 3 Week 4 Diabetic 299 ± 80 313 ± 90 305 ± 57 345 ± 46 Diabetic + 323 ± 79 284 ± 75 258 ± 60

  303 ± 79 test compound (100 mg/kg/d) Diabetic + 313 ± 52 240 ± 85 197 ± 77

  207 ± 77

  test compound (300 mg/kg/d)

EXAMPLE 35

[0349] The assay described in this example is used to determine whether compounds would be effective in the treatment of elevated serum triglyceride levels in diabetic, as well as nondiabetic, patients. Tests are conducted to determine the effect of compounds on serum triglyceride levels in streptozotocin-induced diabetic rats. These animals represent a well-established diabetic model exhibiting most of the metabolic abnormalities associated with hyperglycemia, including hpertriglyceridemia, see Schnatz, et al., Diabetologia 8: 125, 1972.

[0350] Diabetes is induced in animals as follows: male Sprague-Dawley rats (150 g), supplied by Harlan Teklad (Madison, Wis.), are allowed to acclimate for 1 week and water is supplied ad libitum. Food (7012CM, Harlan Teklad certified LM-485 mouse/rat) is removed at 1 PM on the day prior to injection of streptozocin (STZ, Sigma cat no. S01230, lot no. 66H0468) STZ, 40 mg/kg, is prepared in 0.03 M citrate buffer, pH 4.5 and administered intraperitoneally after a 24-hr fast. Control animals receive citrate buffer.

[0351] Two hours after STZ injection, food is returned. Two days following STZ injection, blood glucose is measured and animals with <300 mg/dL are eliminated. Animals with blood glucose levels ≧300 mg/dL are randomized into diabetic control and treated groups.

[0352] In all, three, groups of animals are monitored and compared. The groups comprise a (nondiabetic) control group (n=5); an untreated diabetic (control) group (n=7); and treated diabetic group (n=7). The daily dosages are administered at 10 AM by gavage as a single dose of the compound of Example 3 in 2% Tween 90 in saline for 15 consecutive days. The nondiabetic and diabetic control groups are administered vehicle.

[0353] After the final dose (Day 8), all groups of animals are fasted for 4 hours and anesthetized with CO₂, and blood is collected by cardiac puncture into EDTA tubes. The plasma is separated from the red blood cells by centrifugation. Plasma triglyceride levels are quantitated on an automated COBAS chemistry system utilizing the Roche reagent for Triglycerides (Cat #44119). This assay is a standard spectrophotometric enzyme assay that uses a Trinder reaction to measure the final product (Trinder, P., Ann Clin Biochem 6: 24-17, 1969). Statistical comparisons between groups employed a one-tailed t-test.

[0354] Table 3 shows the results of the tests. As can be seen, administration of a daily dosage of 10 mg/kg of the Example 3 compound significantly reduced the mean plasma triglyceride levels in treated animals 68% compared to the mean level for untreated diabetic animals. The data clearly demonstrate the effectiveness of the compound of Example 3 in lowering serum triglyceride levels in diabetic animals. On the basis of these data, it is further to be expected that a similar effect would be produced in nondiabetic hosts with elevated triglyceride levels. TABLE 3 Triglyceride lowering Properties of Example 3 compound Triglyceride Plasma lowering triglycerides compared to Group n (mg/dl) diabetic Control 5  62 ± 5 Diabetic 7 335 ± 83* Diabetic + test 7 149 ± 29

68% compound (10 mg/kg/d)

EXAMPLE 36

[0355] The anti-angiogenic properties of the compounds of the invention are demonstrated in the following experiments using the rat aortic ring assay.

[0356] Rats (less than 6 weeks old, approx 150 grams) are individually sacrificed via carbon dioxide asphyxiation. The abdomen and thorax are opened along the midline with scissors using known sterile techniques. The animals are placed recumbent on their right side, to allow displacement of the viscera. The abdominal and thoracic sections of the aorta are carefully separated from the dorsum by dissection along the longitudinal axis of the aorta. The isolated aorta is placed in a petri dish containing sterile, ice cold Hanks' balanced salt solution (Gibco BRL-Life Technologies, Rockville, Md.) for further micro-dissection under a dissecting microscope. The lumenal content of the aorta is dislodged by injection with Hanks' balanced salt solution via a syringe. Adherent adipose, loose connective tissue and segments of intercostal arteries are trimmed from the exterior of the aorta using sterile microsurgical instruments. The aorta is transferred to a clean petri dish containing fresh Hanks' balanced salt solution and the entire aorta is sectioned into 1 to 2 mm thick rings. The two end rings and any other rings which appear damaged are discarded. The aorta is maintained submerged in Hanks' balanced salt solution on ice while plating onto a 48-well plate.

[0357] Using a 48-well tissue culture plate, which is-chilled on ice and in a tissue culture hood, 120 microliters of thawed Matrigel® (Becton Dickinson Labware, Bedford, Mass.) is plated onto each well using a sterile pipet tip. The Matrigel® is solidified by placing the culture plate for 30 minutes in a 37° C. humidified tissue culture incubator in the presence of 5% CO₂. A single aortic ring is placed on edge, with one of its two cut surfaces resting on the Matrigel®, at the center of each well using a sterile curved forcep. The layout of the culture plate is such that the rings from multiple animals are placed in a single column on the plate. In this fashion, the experimental results represent observations based on six animals (n=6). The aortic rings are completely embedded in Matrigel® by pipetting an additional 50 microliters of chilled Matrigel® over each ring, being careful not to disrupt proper ring orientation. The plate with the aortic rings is placed in an incubator at 37° C. with 97% humidity for 6 days.

[0358] Each 48-well tissue culture plate has the following template: six negative wells, six positive wells, with the remaining wells used to evaluate various concentrations of the test compound in replicates of six. The six negative controls consisting of 1584 μL of human endothelial serum free media (SFM) basal growth medium (Gibco-BRL-Life Technologies) and 16 μL of 100% sterile filtered DMSO. The six positive controls consist of 1484 μL serum free media (SFM) and 100 μL of endothelial cell growth supplement (ECGS, at a working concentration of 200 micrograms/ml) (Becton Dickinson Labware, Bedford, Mass.), and 16 μL of 100% sterile filtered DMSO. Six wells, for each concentration of the test compound, consist of: 1484 μl SFM, 100 μl ECGS, 16 μl of test compounds dissolved in 100% sterile filtered DMSO. Final concentration of DMSO in all wells is 1%. All test compounds are diluted 1:100 from their stock concentrations.

[0359] Anti-angiogenic activity is verified using a double-cross over experimental design. The negative control (negative), the positive control (positive) and the experimental group (prevention) each receive media changes every 24 hours for six days. The content of the media changes are as previously described for each experimental group. The prevention group receives 50 micromolar concentration test compound for six consecutive days. The experimental group designated as Removal receives 50 micromolar concentration of test compound during day 1, 2 and 3 after which the compound is removed by multiple rinses with fresh media. The aortic rings in the Removal group are cultured for an additional three days in the absence of the compound and treated identically to the positive control group on days 4, 5 and 6. The experimental group, labeled Intervention, receives treatment identical to the positive control group for 1, 2 and 3 days and is then exposed to 50 microliters of test compound only on days 4, 5 and 6 in a fashion identical to the treatment received by the prevention group.

[0360] For quantitation of the angiogenic response, an inverted microscope (Zeiss, Axiovert 25) set at low illumination with full closure of the iris diaphram to maximize depth-of-field is used. The microscope is coupled to a CCD camera (Cohu Inc.) for digital capture with a computer and each well of the 48-well plate containing an aortic ring is digitally documented for quantitative analysis (Alpha Innotek Inc.) at a magnification of 5×. The average linear vascular growth (in mm) is determined from the adventitial margin of the aortic ring to the furthest detectable vascular outgrowth. This linear distance is measured along 16 equally spaced radial lines around a 360 degree field.

[0361] At the completion of the study, the media is aspirated and Diff-Quik fixative (Dade-Behring) is added to each well as per manufacturer's instructions to preserve the specimens which are stored sealed and refrigerated at 4° C.

[0362] The antiangiogenic effect of the compound of Example 3 is shown in Table 4 below. TABLE 4 Linear Microvascular Experimental Groups Growth (mm) # Negative Control 0.72 ± 0.39, n = 6 ** Positive Control 2.95 ± 0.52, n = 6 Prevention (Days 1- 1.46 ± 0.48, n = 6 * 6) Removal (Days 4-6) 2.31 ± 0.71, n = 5 Intervention (Days 1.97 ± 0.66, n = 5 4-6)

EXAMPLE 37

[0363] STZ treated diabetic minipigs having various wounds are administered the compound of Example 3. These animals are compared with control STZ diabetic minipigs also having wounds but that are not treated with the compound. The animals administered the compound of Example 3 demonstrate a significant increase in the degree of wound healing. Accordingly, the compounds of the invention are capable of promoting wound healing in diabetic mammals.

EXAMPLE 38

[0364] Suitable pharmaceutical compositions containing an ARI and an ACE inhibitor in a single dosage form include the following: Tablet ARI 70 mg ACE inhibitor 10 mg Corn starch 40 mg Gelatin 6 mg Microcrystalline cellulose 20 mg Magnesium stearate 2.0 mg

[0365] 50 mg. Tablets Per Tablet Per 10,000 (mg) Ingredient Tablets (g) 25 Captopril 250 25 Compound of Example 3 250 80 Lactose 800 10 Corn Starch (for mix) 100 8 Corn Starch (for paste) 75 148 1475 20 Magnesium Stearate (1%) 15 150 1490

[0366] The captopril, compound of Example 3, lactose and corn starch (for mix) are blended together. The corn starch (for paste) is suspended in 600 ml of water and heated with stirring to form a paste. This paste is then used to granulate the mixed powders. Additional water is used if necessary. The wet granules are passed through a No. 8 hand screen and dried at about 50° C. The dry granules are then passed through a No. 16 screen. The mixture is lubricated with 1% magnesium stearate and compressed into tablets in a suitable tableting machine.

EXAMPLE 40

[0367] Preparation of Oral Suspension Ingredient quantity omaprilat 250 mg compound of Example 3 250 mg Sorbitol solution (70% N.F.)  40 ml Sodium benzoate 150 mg Saccharin  10 mg Red dye  10 mg Cherry flavor  50 mg Distilled water q.s. to 100 ml

[0368] The sorbitol solution is added to 40 ml. of distilled water and the omaprilat and compound of Example 3 are suspended therein. The saccharin, sodium benzoate, flavor and dye are added and dissolved. The volume is adjusted to 100 ml with distilled water. Each ml of syrup contains 2.5 mg of omaprilat and 2.5 g of the compound of Example 3.

EXAMPLE 41

[0369] A patient requiring treatment for diabetic neuropathy is treated with Compound of Example 3 (70 mg) and lisinopril (10 mg). Each compound is administered twice daily.

[0370] The invention and the manner and process of making and using it, are now described in such full, clear, concise and exact terms as to enable any person skilled in the art to which it pertains, to make and use the same. It is to be understood that the foregoing describes preferred embodiments of the present invention and that modifications may be made therein without departing from the spirit or scope of the present invention as set forth in the claims. To particularly point out and distinctly claim the subject matter regarded as invention, the following claims conclude this specification. 

What is claimed is:
 1. A pharmaceutical composition which comprises a compound of Formula I and an ACE inhibitor, together with a pharmaceutically acceptable carrier and/or diluent,

wherein A is a C₁-C₄ alkylene group optionally substituted with C₁-C₂ alkyl or mono- or disubstituted with halogen; Z is a bond, O, S, C(O)NH, or C₁-C₃ alkylene optionally substituted with C₁-C₂ alkyl; R₁ is hydrogen, alkyl having 1-6 carbon atoms, halogen, 2-, 3-, or 4-pyridyl, or phenyl, where the phenyl or pyridyl is optionally substituted with up to three groups selected from halogen, hydroxy, C₁-C₆ alkoxy, C₁-C₆ alkyl, nitro, amino, or mono- or di(C₁-C₆)alkylamino; R₂, R₃, R₄ and R₅ are each independently hydrogen, halogen, nitro, or an alkyl group of 1-6 carbon atoms (which may be substituted with one or more halogens); OR₇, SR₇, S(O)R₇, S(O)₂N(R₇)₂, C(O)N(R₇)₂, or N(R₇)₂, wherein each R₇ is independently hydrogen, an alkyl group of 1-6 carbon atoms (which may be substituted with one or more halogens) or benzyl, where the phenyl portion is optionally substituted with up to three groups independently selected from halogen, C₁-C₆ alkyl, C₁-C₆ alkoxy, amino, and mono- or di(C₁-C₆)alkylamino; phenyl or heteroaryl such as 2-, 3- or 4-imidazolyl or 2-, 3-, or 4-pyridyl, each of which phenyl or heteroaryl is optionally substituted with up to three groups independently selected from halogen, C₁-C₆ alkyl, C₁-C₆ alkoxy, amino, and mono- or di(C₁-C₆)alkylamino; phenoxy where the phenyl portion is optionally substituted with up to three groups independently selected from halogen, C₁-C₆ alkyl, C₁-C₆ alkoxy, amino, and mono- or di(C₁-C₆)alkylamino; or a group of the formula

where J is a bond, CH₂, oxygen, or nitrogen; and each r is independently 2 or 3; R₆ is hydroxy or a prodrug group; R_(a) is hydrogen, C₁-C₆ alkyl, fluoro, or trifluoromethyl; and Ar represents a phenyl group optionally substituted with up to 5 groups independently selected from halogen, an alkyl group of 1-6 carbon atoms (which may be substituted with one or more halogens), nitro, OR₇, SR₇, S(O)R₇, S(O)₂R₇ or N(R₇)₂ wherein R₇ is hydrogen, an alkyl group of 1-6 carbon atoms (which may be substituted with one or more halogens) or benzyl, where the phenyl portion is optionally substituted with up to three groups independently selected from halogen, C₁-C₆ alkyl, C₁-C₆ alkoxy, amino, and mono- or di(C₁-C₆)alkylamino, or the phenyl group may be condensed with benzo where the benzo is optionally substituted with one or two of halogen, cyano, nitro, trifluoromethyl, perfluoroethyl, trifluoroacetyl, or (C₁-C₆)alkanoyl, hydroxy, (C₁-C₆)alkyl, (C₁-C₆)alkoxy, (C₁-C₆)alkylthio, trifluoromethoxy, trifluoromethylthio, (C₁-C₆)alkylsulfinyl, (C₁-C₆)alkylsulfonyl; a heterocyclic 5-membered ring having one nitrogen, oxygen or sulfur, two nitrogens one of which may be replaced by oxygen or sulfur, or three nitrogens one of which may be replaced by oxygen or sulfur, said heterocyclic 5-membered ring substituted by one or two fluoro, chloro, (C₁-C₆)alkyl or phenyl, or condensed with benzo, or substituted by one of pyridyl, furyl or thienyl, said phenyl or benzo optionally substituted by one of iodo, cyano, nitro, perfluoroethyl, trifluoroacetyl, or (C₁-C₆)alkanoyl, one or two of fluoro, chloro, bromo, hydroxy, (C₁-C₆)alkyl, (C₁-C₆)alkoxy, (C₁-C₆)alkylthio, trifluoromethoxy, trifluoromethylthio, (C₁-C₆)alkylsulfinyl, (C₁-C₆)alkylsulfonyl or trifluoromethyl, or two fluoro or two trifluoromethyl with one hydroxy or one (C₁-C₆)alkoxy, or one or, preferably, two fluoro and one trifluoromethyl, or three fluoro, said pyridyl, furyl or thienyl optionally substituted in the 3-position by fluoro, chloro, bromo, (C₁-C₆)alkyl or (C₁-C₆)alkoxy; a heterocyclic 6-membered ring having one to three nitrogen atoms, or one or two nitrogen atoms and one oxygen or sulfur, said heterocyclic 6-membered ring substituted by one or two (C₁-C₆)alkyl or phenyl, or condensed with benzo, or substituted by one of pyridyl, furyl or thienyl, said phenyl or benzo optionally substituted by one of iodo or trifluoromethylthio, or one or two of fluoro, chloro, bromo, (C₁-C₆)alkyl, (C₁-C₆)alkoxy, (C₁-C₆)alkylthio, (C₁-C₆)alkylsulfinyl, (C₁-C₆)alkylsulfonyl, or trifluoromethyl, and said pyridyl, furyl or thienyl optionally substituted in the 3-position by fluoro, chloro, (C₁-C₆)alkyl or (C₁-C₆)alkoxy; said benzo-condensed heterocyclic 5-membered or 6-membered rings optionally substituted in the heterocyclic 5-membered or 6-membered ring by one of fluoro, chloro, bromo, methoxy, or trifluoromethyl; oxazole or thiazole condensed with a 6-membered aromatic group containing one or two nitrogen atoms, with thiophene or with furane, each optionally substituted by one of fluoro, chloro, bromo, trifluoromethyl, methylthio or methylsulfinyl; imidazolopyridine or triazolopyridine optionally substituted by one of trifluoromethyl, trifluoromethylthio, bromo, or (C₁-C₆)alkoxy, or two of fluoro or chloro; thienothiophene or thienofuran optionally substituted by one of fluoro, chloro or trifluoromethyl; thienotriazole optionally substituted by one of chloro or trifluoromethyl; naphthothiazole; naphthoxazole; or thienoisothiazole.
 2. A pharmaceutical composition according to claim 1, wherein Ar is aryl or heteroaryl, each of which is substituted with up to four groups independently selected from hydrogen, fluorine, chlorine, bromine, trifluoromethyl and nitro.
 3. A pharmaceutical composition according to claim 1, wherein Ar is a substituted phenyl of Formula II or a substituted benzothiazole of Formula III

wherein R₈, R₈′, R₉, R₉′, R₁₀, R₁₁, R₁₂ , R₁₃ and R₁₄ are independently hydrogen, fluorine, chlorine, bromine, trifluoromethyl or nitro.
 4. A pharmaceutical composition according to claim 3, wherein A is methylene and Z is a bond.
 5. A pharmaceutical composition according to claim 3, wherein R_(a) is hydrogen and Z is a bond.
 6. A pharmaceutical composition according to claim 3, wherein A is methylene, R_(a) is hydrogen, and Z is a bond.
 7. A pharmaceutical composition according to claim 6, wherein Ar is a substituted benzothiazole of Formula III.
 8. A pharmaceutical composition according to claim 7, wherein at least one of R₁₁, R₁₂, R₁₃, and R₁₄ is trifluoromethyl.
 9. A pharmaceutical composition according to claim 8, wherein R₁₂ is trifluoromethyl.
 10. A pharmaceutical composition according to claim 7, wherein R₁₁, R₁₂, and R₁₄ are fluorines and R₁₃ is hydrogen.
 11. A pharmaceutical composition according to claim 10, wherein R₆ is hydrogen.
 12. A pharmaceutical composition according to claim 10, wherein R₆ is C₁-C₆ alkyl.
 13. A pharmaceutical composition according to claim 6, wherein Ar is a substituted phenyl of Formula II.
 14. A pharmaceutical composition according to claim 13, wherein at least one of R₈, R_(8′), R₉, R_(9′), R₁₀ is trifluoromethyl.
 15. A pharmaceutical composition according to claim 14, wherein R₉ is trifluoromethyl.
 16. A pharmaceutical composition according to claim 15, wherein R₈, R_(8′), R₉, R_(9′), R₁₀ are fluorines and R₁₃ is hydrogen.
 17. A pharmaceutical composition according to claim 16, wherein R₆ is hydrogen.
 18. A pharmaceutical composition according to claim 16, wherein R₆ is C₁-C₆ alkyl.
 19. A pharmaceutical composition according to claim 1, where the compound of Formula I is 3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid, ethyl Ester.
 20. A pharmaceutical composition according to claim 1, where the compound of Formula I is 3-(4,5,7-trifluorobenzothiazol-2yl)methyl-indole-N-acetic acid.
 21. A pharmaceutical composition according to claim 1, where the compound of Formula I is 5-chloro-3-(4,5,7-Trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid.
 22. A pharmaceutical composition according to claim 1, where the compound of Formula I is 5-chloro-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid.
 23. A pharmaceutical composition according to claim 1, where the compound of Formula I is 2-methyl-3-(4,5,7 trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid.
 24. A pharmaceutical composition according to claim 1, where the compound of Formula I is 5-methyl-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid.
 25. A pharmaceutical composition according to claim 1, where the compound of Formula I is 7-methyl-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid.
 26. A pharmaceutical composition according to claim 1, where the compound of Formula I is 6-chloro-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid.
 27. A pharmaceutical composition according to claim 1, where the compound of Formula I is 5-benzyloxy-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid.
 28. A pharmaceutical composition according to claim 1, where the compound of Formula I is 6-fluoro-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid.
 29. A pharmaceutical composition according to claim 1, where the compound of Formula I is 5-fluoro-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid.
 30. A pharmaceutical composition according to claim 1, where the compound of Formula I is 6-methyl-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid.
 31. A pharmaceutical composition according to claim 1, where the compound of Formula I is 3-(5-trifluoromethylbenzothiazol-2-yl)methyl-indole-N-acetic acid.
 32. A pharmaceutical composition according to claim 1, where the compound of Formula I is 5-Methyl-3-(5-Trifluoromethylbenzothiazol-2-yl)methyl-indole-N-acetic acid.
 33. A pharmaceutical composition according to claim 1, where the compound of Formula I is 3-(3-nitrophenyl)methyl-indole-N-acetic acid.
 34. A pharmaceutical composition according to claim 1, where the compound of Formula I is 3-(3-nitrophenyl)methyl-indole-N-acetic acid, ethyl ester.
 35. A pharmaceutical composition according to claim 1, where the compound of Formula I is 3-(3-nitrophenyl)methyl-indole-N-acetic acid.
 36. A pharmaceutical composition according to claim 1, where the compound of Formula I is 2-phenyl-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid.
 37. A pharmaceutical composition according to claim 1, where the compound of Formula I is 5-phenyl-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid.
 38. A pharmaceutical composition according to claim 1, where the compound of Formula I is 6-phenyl-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid.
 39. A pharmaceutical composition according to claim 1, where the compound of Formula I is 5-morpholino-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid.
 40. A pharmaceutical composition according to claim 1, where the compound of Formula I is 6-morpholino-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid.
 41. A pharmaceutical composition according to claim 1, where the compound of Formula I is 5-phenoxy-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid.
 42. A pharmaceutical composition according to claim 1, where the compound of Formula I is 7-fluoro-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid.
 43. A pharmaceutical composition according to claim 1, where the compound of Formula I is 7-bromo-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid.
 44. A pharmaceutical composition according to claim 1, where the compound of Formula I is -chloro-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid.
 45. A pharmaceutical composition according to claim 1, where the compound of Formula I is 3-[[5-Fluorbenzothiazole-2-yl]methyl]-indole-N-acetic acid.
 46. A pharmaceutical composition according to claim 1, where the compound of Formula I is 3-[[6-Fluorbenzothiazole-2-yl]methyl]-indole-N-acetic acid.
 47. A pharmaceutical composition according to claim 3, wherein Ar is a substituted benzothiazole of Formula III, R₁₂ is trifluoromethyl,. A is methylene, methylene substituted with a methyl group, or ethylene, and R₂, R₃, R₄ and R₅, in combination, represent one of bromo, cyano or nitro, one or two of fluoro, chloro, hydroxy, (C₁-C₆)alkyl, (C₁-C₆)alkoxy, or trifluoromethyl, or two fluoro or two methyl with one hydroxy or one (C₁-C₆)alkoxy, or one or, preferably, two fluoro and one methyl, or three fluoro groups.
 48. A pharmaceutical composition as claimed 1 wherein the angiotensin converting, enzyme inhibitor is selected from benazepril, benazeprilar, captopril, delapril, fentiapril, fosinopril, libenzapril, moexipril, pentopril, petindopril, pivopril, quinapril, quinaprilat, ramipril, spirapril, spiraprilat, zofenopril, ceronapril, enalapril, indolapril, omaprilat, lisinopril, alacepril, cilazapril, and the pharmaceutically acceptable salts thereof.
 49. A method of treating diabetic complications comprising administering to a subject in need of such treatment an effective amount of a pharmaceutical composition according to claim
 1. 50. A method for treatment or prevention of the development of disease conditions associated with impaired neuronal conduction velocity comprising administering to a subject in need of such treatment or prevention an effective amount of a pharmaceutical composition according to claim
 1. 51. A method for treatment or prevention of the development of disease conditions associated with impaired neuronal conduction velocity comprising administering to a subject in need of such treatment or prevention an effective amount of a compound of Formula I according to claim 1 together with an effective amount of an angiotensin converting enzyme inhibitor.
 52. A method for treatment of treatment of diabetic neuropathy comprising administering to a subject in need of such treatment or prevention an effective amount of a pharmaceutical composition according to claim
 1. 53. A pharmaceutical composition according to claim 1, where the compound of Formula I is selected from the group consisting of 3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid; 5-chloro-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid; 2-methyl-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid; 5-methyl-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid; 7-methyl-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid; 6-chloro-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid; 5-benzyloxy-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid; 6-fluoro-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid; 5-fluoro-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid; 6-methyl-3-(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-acetic acid; 3-methyl(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-2 propionic acid; 3-methyl(4,5,7-trifluorobenzothiazol-2-yl)methyl-indole-N-3 propionic acid; 3-(5-trifluoromethylbenzothiazol-2-yl)methyl-indole-N-acetic acid; 5-methyl-3-(5-trifluoromethylbenzothiazol-2-yl)methyl-indole-N-acetic acid; and 3-(3-nitrophenyl)methyl-indole-N-acetic Acid.
 54. A pharmaceutical composition according to claim 53, wherein the angiotensin converting enzyme inhibitor is selected from the group consisting of selected from benazepril, benazeprilar, captopril, delapril, fentiapril, fosinopril, libenzapril, moexipril, pentopril, petindopril, pivopril, quinapril, quinaprilat, ramipril, spirapril, spiraprilat, zofenopril, ceronapril, enalapril, indolapril, omaprilat, lisinopril, alacepril, cilazapril, and the pharmaceutically acceptable salts thereof.
 55. A pharmaceutical composition according to claim 54, wherein the angiotensin converting enzyme inhibitor is omaprilat or captopril. 